NPI | 1003244286 |
---|---|
Doing Business As | SOUTHEASTERN MEDICAL SPECIALISTS |
Entity Type | Organization |
Authorized Contact | FORDHAM B. BRITT Director 910-671-5026 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: NC H0064) |
Enumeration Date | 2013-10-24 |
Last Update Date | 2021-01-25 |