Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southeastern Regional Medical Center

Organization Anesthesiology Physician · NPI 1063815124

Southeastern Regional Medical Center is an Anesthesiology Physician in Lumberton, North Carolina. Licensed in North Carolina. Registered with an NPI since 2014.

Licensed in
NC
In the registry since
2014
Specialties on file
2

Practice location Address checks out

300 W 27th St
Lumberton, NC 28358-3075
Phone: (910) 671-5000
Fax: (910) 738-3764
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence H0064 (NC)
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence H0064 (NC)

Record details

NPI number1063815124
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Johnson — Cfo · (910) 671-5090
Other names Srmc-Anesthesiology Services
NPI enumeratedOctober 3, 2014
Last updated in NPPESOctober 8, 2014
Mailing address300 W 27th St, Lumberton, NC 28358-3075

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