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Organization
PIEDMONT EAST URGENT CARE CENTER LLC
Active
Organization
PIEDMONT EAST URGENT CARE CENTER LLC
Active
Other names
Piedmont East Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN HOLLAND (VICE PRESIDENT)
(469) 893-2030
Entity
Organization
Contact information
Practice address
760 ADDISON AVENUE, ROCK HILL, SC 29730-8097
(803) 329-1930
(803) 328-2549
Mailing address
PO BOX 741323, ATLANTA, GA 30384-1323
(803) 329-1930
(803) 328-2549
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK6974
RAILROAD MEDICARE
—
05
—
GP3888
—
SC
Enumeration date
10/04/2005
Last updated
09/17/2010
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