Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
NorthStar Internal Medicine Clinic at Gibson Cancer Center
Organization subpart
No
Provider details
NPI number
Authorized official
SARA BETH BRADLEY (VP/CFO)
(910) 671-5297
Entity
Organization
Contact information
Practice address
1200 PINE RUN DR, LUMBERTON, NC 28358-2180
(910) 671-5048
(910) 671-5405
Mailing address
PO BOX 749193, ATLANTA, GA 30374-9193
(984) 974-4372
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
05/24/2018
Last updated
04/28/2025
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