Southeastern Regional Medical Clinic

NPI #1326275728 in Parkton, North Carolina

Provider Information

NPI Number
1326275728
Entity Type
Organization
Organization Name
Southeastern Regional Medical Clinic
Primary Specialty
Clinic/Center
Enumeration Date
Jun 12, 2009
Last Updated
Jun 23, 2009

Practice Location

Address
15 W.3RD ST.
ZIP Code
28371-0128
Phone
(910) 858-3913

Authorized Official

Name
CHARLES T. JOHNSON III
Title
CFO
Phone
(910) 671-5090

Specialties & Taxonomy Codes

Specialty
Clinic/Center

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