Southeastern Regional Physician Services
NPI #1912134859 in Pembroke, North Carolina
Provider Information
- NPI Number
- 1912134859
- Entity Type
- Organization
- Organization Name
- Southeastern Regional Physician Services
- Primary Specialty
- Clinic/Center - Urgent Care
- Enumeration Date
- Jun 18, 2009
- Last Updated
- Jun 18, 2009
Practice Location
- Address
- 812 CANDY PARK RD
- City
- Pembroke
- State
- North Carolina
- ZIP Code
- 28372-9129
- Phone
- (910) 521-0564
Authorized Official
- Name
- CHARLES T. JOHNSON III
- Title
- CFO
- Phone
- (910) 671-5090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Urgent Care — Urgent Care |
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