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Organization
AIKEN PROFESSIONAL ASSOCIATION LLC
Active
Organization
AIKEN PROFESSIONAL ASSOCIATION LLC
Active
Other names
Aiken Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
TODD EVANS (VP)
(610) 382-4334
Entity
Organization
Contact information
Practice address
110 SASANQUA DRIVE, GRANITEVILLE, SC 29829-4136
(803) 392-1811
(803) 761-6247
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/18/2019
Last updated
06/26/2019
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