Organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Active
Parent organization
SOUTHEASTERN REGIONAL MEDICAL CENTER
Other names
Southeastern Palliative Care Group
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN REGIONAL MEDICAL CENTER
Authorized official
C THOMAS JOHNSON III (VICE PRESIDENT/CFO)
(910) 671-5090
Entity
Organization
Contact information
Practice address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551
Mailing address
2002 N CEDAR ST STE B, LUMBERTON, NC 28358-3926
(910) 671-5600
(910) 739-3551
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
HOS1599
NC
Other
Enumeration date
08/19/2013
Last updated
08/19/2013
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