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.
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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