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Organization

SOUTHEASTERN SPECIALITY CLINIC

Active
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Organization

SOUTHEASTERN SPECIALITY CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THERESA S CLARKE PHYSISIAN ASSISTANT, (CEO)
(910) 292-2066
Entity
Organization

Contact information

Practice address
520 ERWIN ROAD, DUNN, NC 28334
(910) 292-2066
(910) 292-2091
Mailing address
520 ERWIN ROAD, DUNN, NC 28334
(910) 292-2066
(910) 292-2091

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
NC0726414
NC

Other

Enumeration date
09/12/2012
Last updated
09/12/2012
About Stedi
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