# PREMIER CLINICS OF ROCK HILL

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- **Entity:** Organization
- **Status:** Active
- **Other names:** PREMIER CLINICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1407860752
- **Authorized official:** DR. BAMIDELE A EKUNSANMI M.D (PRESIDENT/MEDICAL DIRECTOR)
- **Authorized official phone:** (803) 326-3000

## Contact information

- **Practice address:** 1609 CONSTITUTION BLVD, ROCK HILL, SC 29732-3047
- **Practice address phone:** (803) 326-3000
- **Mailing address:** PO BOX 36291, ROCK HILL, SC 29732-0504
- **Mailing address phone:** (803) 326-3000
- **Mailing address fax:** (803) 326-3003

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2019921 | SC | Yes |

## Other

- **Enumeration date:** 07/29/2006
- **Last updated:** 11/04/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP3014 | — | SC |