Organization
PREMIER CLINICS
Active
Organization
PREMIER CLINICS
Active
Parent organization
PREMIER CLINICS ROCK HILL
Organization subpart
Yes
Provider details
NPI number
Legal business name
PREMIER CLINICS ROCK HILL
Authorized official
ABIMBOLA EKUNSANMI (PRACTICE ADMINISTRATOR)
(803) 326-3000
Entity
Organization
Contact information
Practice address
7704 ENGLAND ST, CHARLOTTE, NC 28273-5954
(803) 326-3000
(803) 326-3003
Mailing address
1609 CONSTITUTION BLVD, ROCK HILL, SC 29732-3047
(803) 326-3000
(803) 326-3003
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
9900209
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8906658
—
NC
Enumeration date
08/15/2011
Last updated
08/15/2011
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