Organization
GODFREY D ONIME MD PC
Active
Other names
SOUTHEASTERN MEDICAL PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GODFREY D ONIME M.D. (PRESIDENT)
(910) 739-8899
Entity
Organization
Contact information
Practice address
4900 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-8899
(910) 739-7174
Mailing address
4900 FAYETTEVILLE RD, LUMBERTON, NC 28358-2110
(910) 739-8899
(910) 739-7174
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
200201138
NC
Other
Enumeration date
05/23/2006
Last updated
06/07/2011
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