Organization
SOUTHEAST WOMEN'S CENTER, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SUZANNE MICHELLE JABLONSKI (PRACTICE ADMINISTRATOR)
(919) 938-4040
Entity
Organization
Contact information
Practice address
2076 HWY 42 WEST, SUITE 250, CLAYTON, NC 27520-9226
(919) 550-3334
Mailing address
300 S 3RD ST, SUITE C, SMITHFIELD, NC 27577-4575
(919) 938-4040
(919) 938-4075
Taxonomy
Speciality
Code
Description
License number
State
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89015W1
—
NC
Enumeration date
09/18/2009
Last updated
09/18/2009
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