| NPI | 1831425719 |
|---|---|
| Doing Business As | SOUTHEASTERN LUMBERTON UROLOGY CLINIC |
| Entity Type | Organization |
| Authorized Contact | DEAN RUTH Director 910-735-8874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: NC H0064) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-29 |