| NPI | 1770538555 |
|---|---|
| Doing Business As | SOUTHEASTERN MEDICAL PRACTICE |
| Entity Type | Organization |
| Authorized Contact | GODFREY D ONIME President 910-739-8899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 200201138) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-06-07 |