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Organization
SUMMIT HEALTHCARE CENTER LLC
Active
Organization
SUMMIT HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. UGOCHI GUCCI EZEALA MD, MPH (PHYSICIAN/CEO)
(470) 870-6641
Entity
Organization
Contact information
Practice address
1570 HOLCOMB BRIDGE RD STE 510, ROSWELL, GA 30076-2596
(470) 870-6641
Mailing address
1570 HOLCOMB BRIDGE RD STE 510, ROSWELL, GA 30076-2596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
261QH0100X
Health Service Clinic/Center
—
NULL
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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