Southeastern Regional Medical Center
NPI #1033396155 in Clarkton, North Carolina
Provider Information
- NPI Number
- 1033396155
- Entity Type
- Organization
- Organization Name
- Southeastern Regional Medical Center
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jan 31, 2008
- Last Updated
- Jan 27, 2009
Practice Location
- Address
- 9928 N. W.R. LATHAN STREET
- City
- Clarkton
- State
- North Carolina
- ZIP Code
- 28433
- Phone
- (910) 272-3051
Authorized Official
- Name
- MR. CHARLES T. JOHNSON III
- Title
- CFO
- Phone
- (910) 671-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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