Southern Clinics And Urgent Care Pa

NPI 1134108905 - Family Medicine - 207Q00000X

NPI Details
NPI 1134108905
Enumeration Date 01/11/2006
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name AUGUSTINE R AUGUSTINE
Position PRESIDENT
Phone (704) 865-2755
Fax (704) 865-5013
Practice Location
502 W KING ST
LL 20
KINGS MOUNTAIN NC, 28086-3362, US
Phone (704) 865-2755
Fax (704) 865-5013
Business Location
PO BOX 550490
GASTONIA NC, 28055-0490, US
Phone (704) 865-2755
Fax (704) 865-5013
Toxanomy
Taxonomy Code 207Q00000X
License State
License Number
Remove 1134108905 NPI Number
 

According to our database, Southern Clinics And Urgent Care Pa NPI is 1134108905, taxonomy code is 207Q00000X Southern Clinics And Urgent Care Pa physically located at 502 W King St, Kings Mountain NC, 28086-3362. NPI Number 1033115704 has the healthcare provider type.

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1134108905 NPI number is provided on an as is basis without warranty of any kind. 1134108905 is maintained by the National Plan & Provider Enumeration System. The contents of Southern Clinics And Urgent Care Pa are for informational purposes only.