| Southeastern Medical Clinic White Lake | |
|
1921 White Lake Dr Elizabethtown NC 28337-6236 | |
| (910) 862-6491 | |
| (910) 862-7641 |
| Full Name | Southeastern Medical Clinic White Lake |
|---|---|
| Speciality | General Practice |
| Location | 1921 White Lake Dr, Elizabethtown, North Carolina |
| Authorized Official Name and Position | Fordham B Britt (DIRECTOR) |
| Authorized Official Contact | 9106715026 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southeastern Medical Clinic White Lake 1921 White Lake Dr Elizabethtown NC 28337-6236 Ph: (910) 862-6491 | Southeastern Medical Clinic White Lake 1921 White Lake Dr Elizabethtown NC 28337-6236 Ph: (910) 862-6491 |
| NPI Number | 1386037539 |
|---|---|
| Provider Enumeration Date | 03/12/2015 |
| Last Update Date | 03/12/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386037539 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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