Organization
SOUTHEASTERN REGIONAL PHYSICIAN SERVICES
Active
Other names
Southeastern Women's Healthcare at the Oaks
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON (VP/CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
800 OAKRIDGE BLVD, LUMBERTON, NC 28358-2330
(910) 738-2454
(910) 671-9303
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 272-3048
(910) 671-5538
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
04/25/2018
Last updated
10/08/2020
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