University Primary Care Aiken, LLC

NPI #1609137702 in Aiken, South Carolina

Provider Information

NPI Number: 1609137702
Entity Type: Organization
Organization Name: University Primary Care Aiken, LLC
Primary Specialty: Internal Medicine
Enumeration Date: Jun 5, 2012
Last Updated: Oct 16, 2012

Practice Location

Address: 5110 WOODSIDE EXECUTIVE CT
City: Aiken
State: South Carolina
ZIP Code: 29803-3814
Phone: (803) 643-0588

Authorized Official

Name: JULIE DEASON
Title: DIRECTOR REVENUE CYCLE
Phone: (706) 774-7263

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
General Practice	208D00000X
Internal Medicine	207R00000X	Primary

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