Southeastern Regional Physician Services
NPI #1053548016 in Lumberton, North Carolina
Provider Information
- NPI Number
- 1053548016
- Entity Type
- Organization
- Organization Name
- Southeastern Regional Physician Services
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 17, 2009
- Last Updated
- Jun 18, 2009
Practice Location
- Address
- 4308 LUDGATE ST
- City
- Lumberton
- State
- North Carolina
- ZIP Code
- 28358-2461
- Phone
- (910) 671-9298
Authorized Official
- Name
- CHARLES T. JOHNSON III
- Title
- CFO
- Phone
- (910) 671-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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