| NPI | 1710136981 |
|---|---|
| Doing Business As | SOUTHEASTERN LUMBERTON MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON CFO 910-671-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X (Licence: NC H0064) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2009-02-11 |