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Organization
AGA SC CLINICAL, LLC
Active
Organization
AGA SC CLINICAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY RUSCH (SENIOR MANAGER OF PAYER ENROLLMENT)
(706) 701-0193
Entity
Organization
Contact information
Practice address
1010 MEDICAL CENTER DR STE 100, HARDEEVILLE, SC 29927-3452
(706) 548-0008
(706) 369-9673
Mailing address
1010 MEDICAL CENTER DR STE 100, HARDEEVILLE, SC 29927-3452
(706) 548-0008
(706) 369-9673
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
03/07/2025
Last updated
03/07/2025
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