SOUTHEASTERN REGIONAL MEDICAL CENTER NPI 1417191941

NPI Information

  • NPI: 1417191941
  • Provider Name: SOUTHEASTERN REGIONAL MEDICAL CENTER
  • Classification: Obstetrics & Gynecology - 207V00000X
  • Entity Type: Organization
  • Doing Business As: SOUTHEASTERN WOMENS HEALTH
  • Address: 222 S MAIN ST
    RED SPRINGS, NC
    ZIP 28377
  • Phone: (910) 865-5955

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NPI Details

SOUTHEASTERN REGIONAL MEDICAL CENTER is an obstetrics gynecology in Red Springs, NC. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. SOUTHEASTERN REGIONAL MEDICAL CENTER NPI is 1417191941. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Southeastern Womens Health.

The provider's business location address is:

222 S MAIN ST
RED SPRINGS, NC
ZIP 28377-622
Phone: (910) 865-5955
Fax: (910) 738-3764

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

The enumeration date for this NPI number is 4/28/2009 and was last updated on 4/28/2009.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207V00000XObstetrics & GynecologyH0064NORTH CAROLINAYes

What is NPI?

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This page was last updated on: 3/30/2025

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