| Southern Clinic And Urgt Car | |
|
3420 Filbert Hwy Clover SC 29710-5602 | |
| (803) 222-0600 | |
| (803) 222-6119 |
| Full Name | Southern Clinic And Urgt Car |
|---|---|
| Speciality | Family Medicine |
| Location | 3420 Filbert Hwy, Clover, South Carolina |
| Authorized Official Name and Position | Augustine R Eze (PRESIDENT) |
| Authorized Official Contact | 7048652755 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Southern Clinic And Urgt Car Po Box 550490 Gastonia NC 28055-0490 Ph: (704) 865-2755 | Southern Clinic And Urgt Car 3420 Filbert Hwy Clover SC 29710-5602 Ph: (803) 222-0600 |
| NPI Number | 1497734271 |
|---|---|
| Provider Enumeration Date | 01/11/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497734271 | NPI | - | NPPES |
| GP3252 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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