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General NPI Number Information
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NPI Number | 1306154422
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Entity Type | Organization
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Legal Business Name | SOUTHERN URGENT AND PRIMARY CARE ASSOCIATES LLC
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Dates
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Enumeration Date | 09/23/2010
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Last Update Date | 09/23/2010
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Provider Practice Location Address
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Address Line | 4717 HIGHWAY 80 E SUITE H-I
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City | SAVANNAH
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State | GA
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Zip | 31410-2943
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Country | US
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Telephone | 912-429-1984
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Fax |
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Provider Business Mailing Address
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Address Line | 4717 HIGHWAY 80 E SUITE H-I
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City | SAVANNAH
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State | GA
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Zip | 31410-2943
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | ARVIN WARD
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Credential | PA
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Telephone | 912-429-1984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number |
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License Number State |
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