| NPI | 1972911030 |
|---|---|
| Doing Business As | THE SURGERY CENTER AT SOUTHEASTERN HEALTH PARK |
| Entity Type | Organization |
| Authorized Contact | PAULA REVELS LOCKLEAR Business Office Manager 910-887-2361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2014-10-09 |