| Organization Name: | PRIMARY CARE OF AIKEN, LLC |
| NPI Number: | 1043408107 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ANN M KULIK (PRESIDENT) |
| Mailing Address: | 191 Centre South Blvd Aiken |
| State: | SC US |
| Postal Code: | 298036313 |
| Phone Number: | 8036485542 |
| Fax Number: | 8036488815 |
| NPI Enumeration Date: | 10/12/2007 |
| NPI Last Update Date: | 09/11/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 29368 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |