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Organization
UCB PROPERTIES LLC
Active
Organization
UCB PROPERTIES LLC
Active
Other names
Chicora Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BERNARD LEROY LANGSTON III MD (PRESIDENT)
(910) 754-8731
Entity
Organization
Contact information
Practice address
20 MEDICAL CAMPUS DR, SUPPLY, NC 28462
(910) 755-6300
(910) 755-2364
Mailing address
PO BOX 2528, CHICORA URGENT CARE, SHALLOTTE, NC 28459
(910) 755-6300
(910) 755-2364
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5900665
—
NC
Enumeration date
03/17/2006
Last updated
12/13/2007
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