Organization
PIEDMONT URGENT CARE CENTER AT BAXTER VILLAGE LLC
Active
Other names
Baxter Village 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
502 SIXTH BAXTER CROSSING, FORT MILL, SC 29708-6428
(803) 396-8100
(803) 396-8040
Mailing address
P.O. BOX 741327, ATLANTA, GA 30384-1327
(803) 396-8100
(803) 396-8040
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3889
—
SC
Enumeration date
10/04/2005
Last updated
09/17/2010
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