Organization
SOUTHERN CLINICS AND URGENT CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TARA LYNN THORNTON (BILLING MANAGER)
(704) 865-2755
Entity
Organization
Contact information
Practice address
812 W INNES ST, SALISBURY, NC 28144-4152
(704) 637-5544
(704) 637-1989
Mailing address
PO BOX 550490, GASTONIA, NC 28055-0490
(704) 865-2755
(704) 865-5013
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
009600205
NC
261QP2300X
Primary Care Clinic/Center
Primary
102847
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89012X5
—
NC
Enumeration date
02/08/2007
Last updated
02/28/2012
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