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1487632873
SOUTHEASTERN SPECIALIST CLINIC
GASTONIA, NC
NPI
1487632873
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Entity Type
Organization
Authorized Contact
JOHN R. MILES
President/Owner
704-867-8975
Organization Subpart ?
No
Primary Taxonomy
174400000X Specialist
(Licence: NC 19633)
Enumeration Date
2006-01-05
Last Update Date
2020-08-22
Business Address
SOUTHEASTERN SPECIALIST CLINIC
825 MAJESTIC CT SUITE F
GASTONIA, NC 28054-5186
Phone number: 704-867-8975
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Mailing Address
SOUTHEASTERN SPECIALIST CLINIC
825 MAJESTIC COURT SUITE F
GASTONIA, NC 28054
Phone number: 704-867-8975
Copy
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