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 |