OrganizationActive
Southeastern Regional Medical Center
NPI 1912337684 · Surgical Oncology Physician · Lumberton, NC
Provider details
- NPI number
- 1912337684
- Entity type
- Organization
- Primary specialty
- Surgical Oncology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Charles Johnson, Chief Reimbursment Officer(910) 671-5083
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
Practice location
1200 Pine Run Dr
Lumberton, NC 28358-2180
Phone: (910) 737-6418
Fax: (910) 671-5732
Approximate (ZIP-level) locationGet directions
Mailing address
300 W 27th St
Lumberton, NC 28358-3075
Other names (DBA / former)
- Doing business as
- Gibson Cc
- Doing business as
- Gibson Cc
Registry dates
- Enumerated
- 2013-11-18
- Last updated
- 2022-09-08
- Certified
- 2022-09-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.