NPI | 1295159473 |
---|---|
Doing Business As | SOUTHEASTERN EYE CLINIC |
Entity Type | Organization |
Authorized Contact | FORDHAM B BRITT Director 910-671-5026 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: NC H0064) |
Enumeration Date | 2014-02-10 |
Last Update Date | 2014-02-10 |