Primary Care Of Aiken, Llc | |
191 Centre South Blvd Aiken SC 29803-6313 | |
(803) 648-5542 | |
(803) 648-8815 |
Full Name | Primary Care Of Aiken, Llc |
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Speciality | Clinic/center - Primary Care |
Location | 191 Centre South Blvd, Aiken, South Carolina |
Authorized Official Name and Position | Ann M Kulik (PRESIDENT) |
Authorized Official Contact | 8036485542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primary Care Of Aiken, Llc 191 Centre South Blvd Aiken SC 29803-6313 Ph: (803) 648-5542 | Primary Care Of Aiken, Llc 191 Centre South Blvd Aiken SC 29803-6313 Ph: (803) 648-5542 |
NPI Number | 1043408107 |
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Provider Enumeration Date | 10/12/2007 |
Last Update Date | 09/11/2012 |
Identifier | Type | State | Issuer |
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1043408107 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 29368 (South Carolina) | Primary |
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