| NPI | 1053551242 |
|---|---|
| Doing Business As | SOUTHEASTERN MEDICAL CLINIC NORTH LUMBERTON |
| Entity Type | Organization |
| Authorized Contact | CHARLES T. JOHNSON CFO 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC H0064) |
| Enumeration Date | 2009-02-27 |
| Last Update Date | 2009-07-06 |