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Organization
UCFA PHYSICIANS NETWORK GROUP OF SOUTH CAROLINA
Active
Organization
UCFA PHYSICIANS NETWORK GROUP OF SOUTH CAROLINA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THEO STEPHENS (ACTING CHIEF)
(423) 271-9911
Entity
Organization
Contact information
Practice address
2 CORPUS CHRISTIE PL, HILTON HEAD, SC 29928-1700
(423) 271-9911
Mailing address
8930 CROSS PARK DR, KNOXVILLE, TN 37923-4713
(423) 271-9911
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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