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

Southeastern Regional Physician Services

Organization Rural Health Clinic/Center · NPI 1659508653

Southeastern Regional Physician Services is a Rural Health Clinic/Center in Fairmont, North Carolina. Licensed in North Carolina. Registered with an NPI since 2009.

Licensed in
NC
In the registry since
2009

Practice location Address checks out

101 N Walnut St
Fairmont, NC 28340-1951
Phone: (910) 628-0655
Fax: (910) 738-3764
Show map & directions

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

Specialties & licences

Rural Health Clinic/Center (primary) Taxonomy 261QR1300X · Licence H0064 (NC)

Record details

NPI number1659508653
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Charles Johnson — Cfo · (910) 671-5090
Other names Fairmont Medical Clinic
NPI enumeratedJune 17, 2009
Last updated in NPPESJune 17, 2009
Mailing address2600 N Elm St, Lumberton, NC 28358-3011

Other providers in Fairmont