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.
- City
- Parkton
- State
- North Carolina
- 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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