NPI 1063815124

Southeastern Regional Medical Center

Organisation Anesthesiology Physician Lumberton, NC

Practice location

Address: 300 W 27th St, Lumberton, NC 28358-3075
Phone: (910) 671-5000
Fax: (910) 738-3764

Authorised official

Name: Charles T. Johnson
Title: Cfo
Phone: (910) 671-5090

Registered specialties (2)

Anesthesiology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence H0064 (NC)

Other Anesthesiology providers in North Carolina →

Pain Medicine (Anesthesiology) Physician

Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence H0064 (NC)

Registry record

NPI: 1063815124
Entity type: Organization
NPI issued: 3 Oct 2014
Record last updated: 8 Oct 2014

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.