NPI | 1730368952 |
---|---|
Doing Business As | SEASIDE FAMILY PRACTICE |
Entity Type | Organization |
Authorized Contact | SHERRY O KENT President 252-728-2328 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2007-10-25 |
Last Update Date | 2008-04-22 |