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Organization

AIKEN PROFESSIONAL ASSOCIATION LLC

Active
Other names
Aiken Urgent Care
Organization subpart
No

Provider details

NPI number
Authorized official
TODD EVANS (VP)
(610) 382-4334
Entity
Organization

Contact information

Practice address
110 SASANQUA DRIVE, GRANITEVILLE, SC 29829-4136
(803) 392-1811
(803) 761-6247
Mailing address
367 S GULPH RD, KING OF PRUSSIA, PA 19406-3121

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
207Q00000X
Family Medicine Physician
207R00000X
Internal Medicine Physician
207RC0000X
Cardiovascular Disease Physician
261QU0200X
Urgent Care Clinic/Center
Primary
363L00000X
Nurse Practitioner

Other

Enumeration date
01/18/2019
Last updated
06/26/2019
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