Organization
SOUTHEASTERN MEDICAL CENTER, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MISTI SUZANNE PHILLIPS RMM (OFFICE MANAGER)
(910) 892-4941
Entity
Organization
Contact information
Practice address
700 TILGHMAN DR, SUITE720, DUNN, NC 28334-0007
(910) 892-4941
Mailing address
700 TILGHMAN DR, SUITE720, DUNN, NC 28334-0007
(910) 892-4941
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
9401258
NC
Other
Enumeration date
08/15/2006
Last updated
07/06/2010
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