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Organization

PIEDMONT EAST URGENT CARE CENTER LLC

Active
Other names
Piedmont East Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN HOLLAND (VICE PRESIDENT)
(469) 893-2030
Entity
Organization

Contact information

Practice address
760 ADDISON AVENUE, ROCK HILL, SC 29730-8097
(803) 329-1930
(803) 328-2549
Mailing address
PO BOX 741323, ATLANTA, GA 30384-1323
(803) 329-1930
(803) 328-2549

Taxonomy

Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CK6974
RAILROAD MEDICARE
05
GP3888
SC
Enumeration date
10/04/2005
Last updated
09/17/2010
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