Pain Management Clinic

LBN: Southeastern Regional Physician Services
Pain Management Clinic is an health care organization with primary practice located at 4308 Ludgate St , Lumberton NC 28358-2461. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Southeastern Regional Physician Services can be contacted via phone (910) 671-9298, or through Johnson, Charles T. via phone (910) 671-5090.

Contact Information

Primary practice address
4308 Ludgate St Lumberton NC 28358-2461
Phone: (910) 671-9298
Fax: (910) 738-3764
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Charles T.
Phone: (910) 671-5090

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X H0064 North Carolina

Profile Details

NPI number 1053548016
LBN Legal business name Southeastern Regional Physician Services
DBA Doing business as Pain Management Clinic
Authorized official Johnson, Charles T.
Entity Organization
Organization subpart 1 No
Enumeration date Jun 17th, 2009
Last updated Jun 18th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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