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

Southeastern Regional Medical Center

Organization Internal Medicine Physician · NPI 1912337684

Southeastern Regional Medical Center is an Internal Medicine Physician in Lumberton, North Carolina. Registered with an NPI since 2013.

In the registry since
2013
Specialties on file
2

Practice location Address checks out

1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone: (910) 737-6418
Fax: (910) 671-5732
Show map & directions

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

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X
Internal Medicine Physician Taxonomy 207R00000X

Record details

NPI number1912337684
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Johnson — Chief Reimbursment Officer · (910) 671-5083
Other names Gibson Cc; Gibson Cc
NPI enumeratedNovember 18, 2013
Last updated in NPPESSeptember 8, 2022
Certification dateSeptember 8, 2022
Mailing address300 W 27th St, Lumberton, NC 28358-3075

Other providers in Lumberton