Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Southeastern Lumberton Urology Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN RUTH (DIRECTOR)
(910) 735-8874
Entity
Organization
Contact information
Practice address
815 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-7166
(910) 738-4434
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 272-3051
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
H0064
NC
Other
Enumeration date
10/27/2009
Last updated
10/29/2009
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