Southeastern Regional Physician Services
NPI #1477780476 in Clarkton, North Carolina
Provider Information
- NPI Number
- 1477780476
- Entity Type
- Organization
- Organization Name
- Southeastern Regional Physician Services
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Jun 17, 2009
- Last Updated
- Jun 17, 2009
Practice Location
- Address
- 9928 N. W. R. LATHAN ST.
- City
- Clarkton
- State
- North Carolina
- ZIP Code
- 28433
- Phone
- (910) 647-1503
Authorized Official
- Name
- CHARLES T. JOHNSON III
- Title
- CFO
- Phone
- (910) 671-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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