Organization Name: | NEW HOPE URGENT CARE OF CLAYTON |
NPI Number: | 1023104379 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PETER K LEE (OWNER) |
Mailing Address: | 34 Upper Riverdale Rd Se Suite 100-h Riverdale |
State: | GA US |
Postal Code: | 302742635 |
Phone Number: | 7709077288 |
Fax Number: | 7709913446 |
NPI Enumeration Date: | 10/05/2006 |
NPI Last Update Date: | 10/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 22544 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |