Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHERRIE MALLORY (CREDENTIALING SPECIALIST)
(910) 272-1425
Entity
Organization
Contact information
Practice address
4901 DAWN DR, LUMBERTON, NC 28360-8287
(910) 234-4727
Mailing address
4901 DAWN DR, LUMBERTON, NC 28360-8287
(910) 234-4727
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/27/2015
Last updated
08/27/2015
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