# MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC

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

## Provider details

- **NPI number:** 1528612694
- **Authorized official:** MRS. HANNAH QUARSHIE (NP)
- **Authorized official phone:** (704) 858-6851

## Contact information

- **Practice address:** 2457 MARTIN LUTHER KING JR, DR, SW, SUIT A, ATLANTA, GA 30311
- **Practice address phone:** (704) 858-6851
- **Mailing address:** 2363 TIMBERBROOK TRCE, MARIETTA, GA 30066
- **Mailing address phone:** (704) 858-6851

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | NULL | Yes |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | Yes |

## Other

- **Enumeration date:** 07/27/2019
- **Last updated:** 08/28/2020