Southern Clinics and Urgent Care PA
NPI #1134108905 in Kings Mountain, North Carolina
Provider Information
- NPI Number
- 1134108905
- Entity Type
- Organization
- Organization Name
- Southern Clinics and Urgent Care PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 11, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 502 W KING ST
- Address 2
- LL 20
- City
- Kings Mountain
- State
- North Carolina
- ZIP Code
- 28086-3362
- Phone
- (704) 865-2755
Authorized Official
- Name
- DR. AUGUSTINE R EZE, M.D.
- Title
- PRESIDENT
- Phone
- (704) 865-2755
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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