Southern Clinic and Urgt Car

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

SOUTHERN CLINIC AND URGT CAR

Practice address

3420 Filbert Hwy
Clover, SC 29710-5602

Phone

(803) 222-0600

Fax

(803) 222-6119

NPI assigned

Jan 11, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Augustine R Eze, MD

Title

President

Phone

(704) 865-2755

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Southern Clinic and Urgt Car2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Southern Clinics and Urgent Care PA

  • Family Medicine Physician
  • Kings Mountain, NC
  • NPI 1134108905
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1497734271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 550490",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280550490",
            "telephone_number": "704-865-2755",
            "fax_number": "704-865-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3420 FILBERT HWY",
            "city": "CLOVER",
            "state": "SC",
            "postal_code": "297105602",
            "telephone_number": "803-222-0600",
            "fax_number": "803-222-6119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN CLINIC AND URGT CAR",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "EZE",
        "authorized_official_first_name": "AUGUSTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "704-865-2755",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP3252",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Karen S Shuler, PT, DPT
• Brittany Shay Smith
• Joanna J Smith
• South Carolina CVS Pharmacy LLC
• South Carolina CVS Pharmacy, L.L.C.
• Speak N Play Therapy
• Brantlee Jackson Spurrier, MSW, LISWCP
• Ryan Alexander Stamper, LPC
• Joy Renee Stephens, CNA
• Kharen Marie Stewart

• Family Medicine Physician in Clover, SC
• Providers in Clover, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.