# IMR IMMEDIATE CARE, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1134422157
- **Authorized official:** MRS. LISA MARIE CRANDALL APRN-FNP (MANAGING PARTNER)
- **Authorized official phone:** (678) 957-1043

## Contact information

- **Practice address:** 3540 DULUTH PARK LN, SUITE 260, DULUTH, GA 30096-6674
- **Practice address phone:** (678) 957-1043
- **Practice address fax:** (678) 957-1093
- **Mailing address:** 3540 DULUTH PARK LN, SUITE 260, DULUTH, GA 30096-6674
- **Mailing address phone:** (678) 957-1043
- **Mailing address fax:** (678) 957-1093

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | GA042979 | GA | Yes |
| 363LF0000X | Family Nurse Practitioner | RN173213 NP | GA | — |

## Other

- **Enumeration date:** 12/14/2010
- **Last updated:** 12/14/2010