| NPI | 1497940944 |
|---|---|
| Other Name | SOUTHEAST VULVAR CLINIC |
| Entity Type | Organization |
| Authorized Contact | IRENE ELIZABETH EDWARDS Owner 704-367-9777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 23521) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: NC 23521) |
| 208000000X Pediatrics (Licence: NC 23521) | |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2022-03-01 |