Southeastern Speciality Clinic
NPI #1861742462 in Dunn, North Carolina
Provider Information
- NPI Number
- 1861742462
- Entity Type
- Organization
- Organization Name
- Southeastern Speciality Clinic
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Sep 12, 2012
- Last Updated
- Sep 12, 2012
Practice Location
- Address
- 520 ERWIN ROAD
- City
- Dunn
- State
- North Carolina
- ZIP Code
- 28334
- Phone
- (910) 292-2066
Authorized Official
- Name
- THERESA S CLARKE, PHYSISIAN ASSISTANT,
- Title
- CEO
- Phone
- (910) 292-2066
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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