| Southeastern Medical Clinic Parkton | |
|
15 W.3rd St. Parkton NC 28371-0128 | |
| (910) 858-3913 | |
| (910) 738-3764 |
| Full Name | Southeastern Medical Clinic Parkton |
|---|---|
| Speciality | Clinic/center |
| Location | 15 W.3rd St., Parkton, North Carolina |
| Authorized Official Name and Position | Charles T. Johnson (CFO) |
| Authorized Official Contact | 9106715090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Medical Clinic Parkton 2600 N Elm St Lumberton NC 28358-3011 Ph: (910) 272-3051 | Southeastern Medical Clinic Parkton 15 W.3rd St. Parkton NC 28371-0128 Ph: (910) 858-3913 |
| NPI Number | 1326275728 |
|---|---|
| Provider Enumeration Date | 06/12/2009 |
| Last Update Date | 06/23/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326275728 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | H0064 (North Carolina) | Primary |
Parkton Family Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15 W Third St, Parkton, NC 28371 Phone: 910-858-3913 Fax: 910-858-3610 |