Organization
SOUTHEASTERN HEALTHCARE OF JACKSONVILLE, PC
Active
Parent organization
SOUTHEASTERN HEALTHCARE OF JACKSONVILLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
SOUTHEASTERN HEALTHCARE OF JACKSONVILLE
Authorized official
MRS. ELIZA R. GRAY (OFFICE MANAGER)
(910) 791-2788
Entity
Organization
Contact information
Practice address
431 WESTERN BLVD, SUITE E, JACKSONVILLE, NC 28546-6823
(910) 355-6000
(910) 355-7533
Mailing address
2595 S 17TH ST, WILMINGTON, NC 28401-7748
(910) 791-2788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3421
NC
Other
Enumeration date
01/19/2007
Last updated
10/01/2007
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