Organization
UNIVERSITY PRIMARY CARE AIKEN, LLC
Active
Other names
UMG Primary Care Aiken
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE DEASON (DIRECTOR REVENUE CYCLE)
(706) 774-7263
Entity
Organization
Contact information
Practice address
5110 WOODSIDE EXECUTIVE CT, AIKEN, SC 29803-3814
(803) 643-0588
(706) 774-7230
Mailing address
PO BOX 1705, AUGUSTA, GA 30903-1705
(706) 774-7263
(706) 774-7230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
Other
Enumeration date
06/05/2012
Last updated
10/16/2012
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