NPI | 1699081885 |
---|---|
Doing Business As | SOUTHEASTERN PRIMARY CARE PROVIDERS |
Entity Type | Organization |
Authorized Contact | CHERYL OSBORNE Practice Manager 770-716-7999 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine |
Enumeration Date | 2010-08-25 |
Last Update Date | 2010-08-25 |