| NPI | 1407281082 |
|---|---|
| Doing Business As | SOUTHEASTERN SPINE & PAIN CLINIC |
| Entity Type | Organization |
| Authorized Contact | FORDHAM BRITT Director 910-671-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NC H0064) |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain (Licence: NC H0064) |
| Enumeration Date | 2013-09-13 |
| Last Update Date | 2020-10-08 |