Southeastern Specialist Clinic
Southeastern Specialist Clinic is a Specialist in Gastonia, North Carolina. Licensed in North Carolina. Registered with an NPI since 2006.
- Licensed in
- NC
- In the registry since
- 2006
Practice location Address checks out
825 Majestic Ct Ste FGastonia, NC 28054-5186
Phone: (704) 867-8975
Fax: (704) 867-8353
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Specialist (primary) | Taxonomy 174400000X · Licence 19633 (NC) |
|---|
Record details
| NPI number | 1487632873 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | John Miles — President/Owner · (704) 867-8975 |
| NPI enumerated | January 5, 2006 |
| Last updated in NPPES | August 22, 2020 |
| Mailing address | 825 Majestic Court, Suite F, Gastonia, NC 28054 |
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