| NPI | 1245467208 |
|---|---|
| Doing Business As | SOUTHEASTERN LUMBERTON MEDICAL CLINIC |
| 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 | 2009-06-17 |
| Last Update Date | 2009-06-17 |