SOUTHEASTERN SPECIALIST CLINIC

GASTONIA, NC
NPI1487632873
Entity TypeOrganization
Authorized ContactJOHN R. MILES
President/Owner
704-867-8975
Organization Subpart ?No
Primary Taxonomy174400000X Specialist
(Licence: NC  19633)
Enumeration Date2006-01-05
Last Update Date2020-08-22
Business Address
SOUTHEASTERN SPECIALIST CLINIC
825 MAJESTIC CT SUITE F
GASTONIA, NC 28054-5186
Phone number: 704-867-8975
Mailing Address
SOUTHEASTERN SPECIALIST CLINIC
825 MAJESTIC COURT SUITE F
GASTONIA, NC 28054
Phone number: 704-867-8975