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1720092505
PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC
FORT MILL, SC
NPI
1720092505
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Entity Type
Organization
Authorized Contact
J. SCOTT RICHARDSON
Vice President
469-893-6960
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
Enumeration Date
2006-07-28
Last Update Date
2010-09-29
Business Address
PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC
502 SIXTH BAXTER CROSSING SUITE A
FORT MILL, SC 29708
Phone number: 803-802-2424
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Mailing Address
PIEDMONT INTERNAL MEDICINE AT BAXTER VILLAGE LLC
PO BOX 741344
ATLANTA, GA 30384-1344
Phone number: 803-802-2424
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