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SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1003190638


NPI Information

NPI: 1003190638
Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER

Doing Business As: SOUTHEASTERN ANESTHESIOLOGY SERVICES

Classification: Anesthesiology - 207LP2900X
Entity Type: Organization

Specialization: Pain Medicine

Address:
300 W 27TH ST
LUMBERTON, NC
ZIP 28358
Phone: (910) 671-5290
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SOUTHEASTERN REGIONAL MEDICAL CENTER is a pain medicine anesthesiology in Lumberton, NC. The provider is an anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1003190638. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Anesthesiology Services.

The provider's business location address is:

300 W 27TH ST
LUMBERTON, NC
ZIP 28358-075
Phone: (910) 671-5290
Fax: (910) 671-8512

The provider's authorized official is Charles T. Johnson .
The authorized official title is Vp Cfo and has the following contact phone number (910) 671-5090.

The enumeration date for this NPI number is 9/30/2011 and was last updated on 7/28/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207LP2900XAnesthesiologyPain MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1H0064OTHERNORTH CAROLINALICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.