NPI | 1386077790 |
---|---|
Doing Business As | SOUTHEASTERN NAVIGATION GROUP |
Entity Type | Organization |
Authorized Contact | C THOMAS JOHNSON Vice President/CFO 910-671-5090 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: NC HOS1599) |
Enumeration Date | 2013-08-21 |
Last Update Date | 2013-08-21 |