Organization
PREMIERE ONLINE URGENT CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHAREKIA DASH (OWNER)
(470) 483-2992
Entity
Organization
Contact information
Practice address
901 SUMMERS AVE, ORANGEBURG, SC 29115-4931
(470) 483-2992
Mailing address
901 SUMMERS AVE, ORANGEBURG, SC 29115-4931
(470) 483-2992
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
061920860
—
GA
Enumeration date
01/06/2022
Last updated
04/20/2022
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