NPI | 1518351279 |
---|---|
Doing Business As | SOUTHEASTERN EYE CLINIC |
Entity Type | Organization |
Authorized Contact | FORDHAM B BRITT Director 910-671-5026 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Enumeration Date | 2015-03-20 |
Last Update Date | 2015-03-20 |