# EJESE HEALTHCARE, PC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EJESE URGENT CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093800823
- **Authorized official:** JAMES K IRUNGU (BILLING CONTACT)
- **Authorized official phone:** (770) 456-6118

## Contact information

- **Practice address:** 125 COMMONS WAY STE 203, VILLA RICA, GA 30180-7041
- **Practice address phone:** (770) 456-6118
- **Practice address fax:** (770) 456-6227
- **Mailing address:** 125 COMMONS WAY STE 203, VILLA RICA, GA 30180-7041
- **Mailing address phone:** (770) 456-6118
- **Mailing address fax:** (770) 456-6227

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 055684 | GA | — |
| 207QA0505X | Adult Medicine Physician | — | NULL | Yes |
| 207QA0505X | Adult Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 10/04/2006
- **Last updated:** 09/11/2025