Southeastern Regional Physician Services
NPI #1659508653 in Fairmont, North Carolina
Provider Information
- NPI Number
- 1659508653
- Entity Type
- Organization
- Organization Name
- Southeastern Regional Physician Services
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Jun 17, 2009
- Last Updated
- Jun 17, 2009
Practice Location
- Address
- 101 N WALNUT ST
- City
- Fairmont
- State
- North Carolina
- ZIP Code
- 28340-1951
- Phone
- (910) 628-0655
Authorized Official
- Name
- CHARLES T. JOHNSON
- Title
- CFO
- Phone
- (910) 671-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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