| 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 |