Southeastern Specialist Clinic
NPI #1487632873 in Gastonia, North Carolina
Provider Information
- NPI Number
- 1487632873
- Entity Type
- Organization
- Organization Name
- Southeastern Specialist Clinic
- Primary Specialty
- Specialist
- Enumeration Date
- Jan 5, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 825 MAJESTIC CT
- Address 2
- SUITE F
- City
- Gastonia
- State
- North Carolina
- ZIP Code
- 28054-5186
- Phone
- (704) 867-8975
Authorized Official
- Name
- JOHN R. MILES JR., M.D.
- Title
- PRESIDENT/OWNER
- Phone
- (704) 867-8975
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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