SOUTHEASTERN REGIONAL PHYSICIAN SERVICES is an urgent care clinic center in Pembroke, NC. SOUTHEASTERN REGIONAL PHYSICIAN SERVICES NPI is 1912134859. The provider is registered as an organization entity type. The provider Is Doing Business As Southeastern Urgent Care Pembroke.
The provider's business location address is:
812 CANDY PARK RD PEMBROKE, NC ZIP 28372-129 Phone: (910) 521-0564 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 CLIA number assigned to this NPI record is 34D1080163 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 6/18/2009 and was last updated on 6/18/2009.
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:
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: 11/21/2025
NPI Synchronization or Removal
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.
