A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Clinic/Center |
261Q00000X |
| NPI Number | 1639536089 |
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| LBN Legal business name | SOUTHEASTERN SURGERY | ||||
| Authorized official | JOHN DEWALT - (SURGEON) | ||||
| Entity | Organization | ||||
| Organization subpart 1 | No | ||||
| Enumeration date | 01/15/2016 | ||||
| Last updated | 01/15/2016 - About 10 years ago | ||||
| Identifiers |
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SOUTHEASTERN SURGERY
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