Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Other names
Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES THOMAS JOHNSON (VICE PRESIDENT OF FINANCE)
(910) 671-5090
Entity
Organization
Contact information
Practice address
300 W 27TH ST, LUMBERTON, NC 28358-3075
(910) 671-5000
Mailing address
2600 N ELM ST, LUMBERTON, NC 28358-3011
(910) 737-3147
(910) 738-3764
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
—
NC
207R00000X
Internal Medicine Physician
—
NC
207RC0000X
Cardiovascular Disease Physician
Primary
—
NC
Other
Enumeration date
05/18/2006
Last updated
09/11/2025
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