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Organization
UNIVERSITY PRIMARY CARE AIKEN, LLC
Active
Organization
UNIVERSITY PRIMARY CARE AIKEN, LLC
Active
Other names
UMG Primary Care Aiken
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DEASON (DIRECTOR REVENUE CYCLE)
(706) 774-7263
Entity
Organization
Contact information
Practice address
5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
(803) 643-0588
(706) 774-7230
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
NULL
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/05/2012
Last updated
10/16/2012
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