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Organization
BRIGHTPOINT URGENT CARE, LLC
Active
Organization
BRIGHTPOINT URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARLA D JACKSON LPC (VICE PRESIDENT)
(770) 692-5910
Entity
Organization
Contact information
Practice address
913 EAGLES LANDING PKWY, SUITE 150, STOCKBRIDGE, GA 30281-5011
(770) 692-5910
(770) 692-5916
Mailing address
913 EAGLES LANDING PKWY, SUITE 150, STOCKBRIDGE, GA 30281-5011
(770) 692-5910
(770) 692-5916
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
035913
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
856237560B
—
GA
01
—
GRP8111
MEDICARE PTAN
GA
Enumeration date
01/09/2007
Last updated
08/15/2013
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