| Organization Name: | ALLIANCE URGENT CARE, LLC |
| NPI Number: | 1013154533 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DAVID ARNEL RAGAN (OWNER-PHYSICIAN) |
| Mailing Address: | 610 Peachtree Parkway Suite 201 Cumming |
| State: | GA US |
| Postal Code: | 30041 |
| Phone Number: | 7708882733 |
| Fax Number: | 7708882741 |
| NPI Enumeration Date: | 01/21/2009 |
| NPI Last Update Date: | 01/21/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QU0200X |
| License Number: | 033682 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Urgent Care |
| Taxonomy Definition: | |