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Organization
AIKEN URGENT CARE
Active
Organization
AIKEN URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN SMITH (CFO)
(610) 768-3300
Entity
Organization
Contact information
Practice address
23 SASANQUA DRIVE, GRANITEVILLE, SC 29829-5555
(610) 382-4943
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
(803) 392-1811
(803) 761-6247
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/13/2018
Last updated
11/15/2018
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