| 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 |