Organization Name: | URGENT CARE BANKS CROSSING LLC |
NPI Number: | 1043448848 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | LISA A BROOKSHIRE (OFFICE MANAGER) |
Mailing Address: | 415 B Pottery Factory Dr Commerce |
State: | GA US |
Postal Code: | 305296682 |
Phone Number: | 7063360074 |
Fax Number: | 7063360079 |
NPI Enumeration Date: | 06/30/2009 |
NPI Last Update Date: | 08/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QU0200X |
License Number: | 049138 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Urgent Care |
Taxonomy Definition: |