Whalio Doctors

NPI 1013975812

Southeastern Regional Medical Center

Organisation Clinic/Center Lumberton, NC

Practice location

Address
4303 Ludgate St, Lumberton, NC 28358-2460
Phone
(910) 671-5000
Fax
(910) 671-5858
Mailing address
300 W 27th St, Lumberton, NC 28358-3075

Authorised official

Name
C. Thomas Johnson
Title
V. P. Finance
Phone
(910) 671-5090

Registered specialties (6)

Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261Q00000X Licence H0064 (NC)
Addiction (Substance Use Disorder) Counselor
Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence H0064 (NC)
Clinical Social Worker
Behavioral Health & Social Service Providers Taxonomy 1041C0700X Licence H0064 (NC)
Anesthesiology Physician
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence H0064 (NC)
Psychiatry Physician
Allopathic & Osteopathic Physicians Taxonomy 2084P0800X Licence HOO64 (NC)
Physician Assistant
Physician Assistants & Advanced Practice Nursing Providers Taxonomy 363A00000X Licence H0064 (NC)

Registry record

NPI
1013975812
Entity type
Organization
NPI issued
2 May 2006
Record last updated
24 Feb 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.