# SOUTHERN CLINICS AND URGENT CARE, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275673097
- **Authorized official:** TARA LYNN THORNTON (BILLING MANAGER)
- **Authorized official phone:** (704) 865-2755

## Contact information

- **Practice address:** 812 W INNES ST, SALISBURY, NC 28144-4152
- **Practice address phone:** (704) 637-5544
- **Practice address fax:** (704) 637-1989
- **Mailing address:** PO BOX 550490, GASTONIA, NC 28055-0490
- **Mailing address phone:** (704) 865-2755
- **Mailing address fax:** (704) 865-5013

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | 009600205 | NC | — |
| 261QP2300X | Primary Care Clinic/Center | 102847 | NC | Yes |

## Other

- **Enumeration date:** 02/08/2007
- **Last updated:** 02/28/2012