# SOUTH ATLANTA URGENT CARE CLINIC LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053767376
- **Authorized official:** MATTHEW LEGOWSKI (OPERATIONS)
- **Authorized official phone:** (609) 703-5097

## Contact information

- **Practice address:** 5185 OLD NATIONAL HWY, ATLANTA, GA 30349-3244
- **Practice address phone:** (609) 703-5097
- **Mailing address:** 5185 OLD NATIONAL HWY, ATLANTA, GA 30349-3244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332900000X | Non-Pharmacy Dispensing Site | 055916 | GA | Yes |

## Other

- **Enumeration date:** 05/05/2016
- **Last updated:** 03/14/2026