Southeast Stone Center

NPI #1588718100 in Davidson, North Carolina

Provider Information

NPI Number: 1588718100
Entity Type: Organization
Organization Name: Southeast Stone Center
Primary Specialty: Clinic/Center - Lithotripsy
Enumeration Date: Jan 22, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 705 GRIFFITH ST STE 205
City: Davidson
State: North Carolina
ZIP Code: 28036-9307
Phone: (866) 828-0173

Authorized Official

Name: JUDY H RUSSELL
Title: BUSINESS SERVICES COORDINATOR
Phone: (704) 896-2120

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Lithotripsy — Lithotripsy	261QL0400X	Primary

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