Organization Name: | FIRST CHOICE URGENT CARE LLC |
NPI Number: | 1023328978 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTY LUCAS (OWNER) |
Mailing Address: | 472 W Poplar Ave Ste 101 Collierville |
State: | TN US |
Postal Code: | 380172538 |
Phone Number: | 9018545771 |
Fax Number: | 9018545774 |
NPI Enumeration Date: | 10/13/2010 |
NPI Last Update Date: | 06/07/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QP2300X |
License Number: | 12976 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TN |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Primary Care |
Taxonomy Definition: |