| Srmc-intensivists | |
|
300 W 27th St Lumberton NC 28358-3075 | |
| (910) 670-5000 | |
| (910) 670-8512 |
| Full Name | Srmc-intensivists |
|---|---|
| Speciality | Internal Medicine |
| Location | 300 W 27th St, Lumberton, North Carolina |
| Authorized Official Name and Position | Charles T. Johnson (VP/CFO) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Srmc-intensivists 300 W 27th St Lumberton NC 28358-3075 Ph: (910) 670-5000 | Srmc-intensivists 300 W 27th St Lumberton NC 28358-3075 Ph: (910) 670-5000 |
| NPI Number | 1962926451 |
|---|---|
| Provider Enumeration Date | 07/27/2017 |
| Last Update Date | 11/03/2022 |
| Certification Date | 11/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962926451 | NPI | - | NPPES |
| PENDING | Other | NC | PENDING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Primary |
| 207RC0200X | Internal Medicine - Critical Care Medicine | () | Secondary |
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