Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Radiology Associates-LRA
Organization subpart
No
Provider details
NPI number
Authorized official
FORDHAM B BRITT (DIRECTOR)
(910) 671-5026
Entity
Organization
Contact information
Practice address
209 W 27TH ST, LUMBERTON, NC 28358-3016
(910) 738-8222
(910) 671-8175
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
H0064
NC
Other
Enumeration date
10/11/2013
Last updated
10/11/2013
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