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Organization
SOUTHERN CLINICS AND URGENT CARE PA
Active
Organization
SOUTHERN CLINICS AND URGENT CARE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AUGUSTINE R EZE M.D. (PRESIDENT)
(704) 865-2755
Entity
Organization
Contact information
Practice address
502 W KING ST, LL 20, KINGS MOUNTAIN, NC 28086-3362
(704) 865-2755
(704) 865-5013
Mailing address
PO BOX 550490, GASTONIA, NC 28055-0490
(704) 865-2755
(704) 865-5013
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
01/11/2006
Last updated
08/22/2020
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