| NPI | 1205259546 |
|---|---|
| Doing Business As | SOUTHEASTERN WEIGHT LOSS CENTER |
| 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 | 2014-01-22 |
| Last Update Date | 2014-01-22 |