| NPI | 1861829681 |
|---|---|
| Doing Business As | SOUTHEASTERN RADIOLOGY ASSOCIATES WIC |
| Entity Type | Organization |
| Authorized Contact | FORDHAM B BRITT Director 910-671-5026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0206X Clinic/Center, Radiology, Mammography (Licence: NC H0064) |
| Enumeration Date | 2013-10-11 |
| Last Update Date | 2013-10-11 |