Organization
SOUTHEASTERN MEDICAL ONCOLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERESA W HOYT (BUSINESS MANAGER)
(919) 587-9040
Entity
Organization
Contact information
Practice address
211 BEAMAN STREET, CLINTON, NC 28328
(910) 592-5727
(910) 592-4695
Mailing address
211 BEAMAN ST, CLINTON, NC 28328-2905
(910) 592-5727
(910) 592-4695
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2310707
MEDICARE
NC
05
—
890252E
—
NC
Enumeration date
11/14/2011
Last updated
11/14/2011
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