Organization · Type 2 NPI

Southeastern Regional Physician Services

Clinic/Center · Lumberton, NC

NPI number 1780202093 Active

Practice location

4901 Dawn Dr Ste 3300
Lumberton, NC 28360-8288

Call (910) 671-5410 Map

Fax (910) 735-8695

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).

2 other providers at this address

Other clinic/center providers in Lumberton

See all in Lumberton →

NPI record

NPI: 1780202093
Entity type: Organization (Type 2)
Issued: Jul 13, 2020
Last updated: May 10, 2022
Status: Active

Other names

<unavail>
Southeastern Health Endocrinology Clinic · doing business as
Southeastern Health Endocrinology Clinic · doing business as

Authorized official

Charles Thomas Johnson
Cro
(910) 671-5083

Verify this record

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.

Is this your record? How to update it.

About NPI 1780202093

Southeastern Regional Physician Services's National Provider Identifier is 1780202093, issued on Jul 13, 2020. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Lumberton, NC. The record was last updated on May 10, 2022.