| Aiken Professional Association, Llc. | |
|
420 Society Hill Dr Suite 200 Aiken SC 29803-1731 | |
| (803) 649-7266 | |
| (803) 649-7158 |
| Full Name | Aiken Professional Association, Llc. |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 420 Society Hill Dr, Aiken, South Carolina |
| Authorized Official Name and Position | Todd Evans (VP) |
| Authorized Official Contact | 6103824334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Aiken Professional Association, Llc. 420 Society Hill Dr Suite 200 Aiken SC 29803-1731 Ph: (803) 649-7266 | Aiken Professional Association, Llc. 420 Society Hill Dr Suite 200 Aiken SC 29803-1731 Ph: (803) 649-7266 |
| NPI Number | 1053795633 |
|---|---|
| Provider Enumeration Date | 07/14/2015 |
| Last Update Date | 06/26/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053795633 | NPI | - | NPPES |
| 016397 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 1639 (South Carolina) | Primary |
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