| NPI | 1780202093 |
|---|---|
| Doing Business As | SOUTHEASTERN HEALTH ENDOCRINOLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | CHARLES THOMAS JOHNSON Cro 910-671-5083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2022-05-10 |