| NPI | 1477928760 |
|---|---|
| Doing Business As | SOUTHEASTERN OCCUPATIONAL HEALTHWORKS |
| Entity Type | Organization |
| Authorized Contact | RAYMOND HENLEY Director 910-737-3147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care |
| Enumeration Date | 2015-12-11 |
| Last Update Date | 2020-10-20 |