Organization · Type 2 NPI

Southeastern Regional Physician Services

Clinic/Center · Lumberton, NC

NPI number 1255790507 Active

Practice location

4307 Fayetteville Rd
Lumberton, NC 28358-2676

Call (910) 671-9000 Map

Mailing address

2002 N Cedar St Ste B
Lumberton, NC 28358-3926

Specialties and licenses

Taxonomy	Code	License
Clinic/Center Primary	261Q00000X	None listed

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

Other clinic/center providers in Lumberton

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NPI record

NPI: 1255790507
Entity type: Organization (Type 2)
Issued: Feb 15, 2016
Last updated: Oct 8, 2020
Status: Active

Other names

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The Clinic at Lumberton Drug · doing business as
The Clinic at Lumberton Drug · doing business as

Authorized official

Mrs. Fordham B Britt
Director
(910) 671-5026

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1255790507

Southeastern Regional Physician Services's National Provider Identifier is 1255790507, issued on Feb 15, 2016. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lumberton, NC. The record was last updated on Oct 8, 2020.