| NPI | 1164028361 |
|---|---|
| Doing Business As | SOUTHEASTERN COVID-19 VACCINATION CLINIC |
| Entity Type | Organization |
| Authorized Contact | ELLA HUNT Credentialing 910-737-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2020-12-11 |