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Organization
NORTHSIDE URGENT CARE HOLDING, LLC
Active
Organization
NORTHSIDE URGENT CARE HOLDING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMY E FOUTS (CHIEF COMPLIANCE OFFICER)
(404) 851-6968
Entity
Organization
Contact information
Practice address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
(855) 709-4535
Mailing address
1000 JOHNSON FY RD NE, ATLANTA, GA 30342-1606
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
GA
261QU0200X
Urgent Care Clinic/Center
Primary
—
GA
Other
Enumeration date
01/20/2015
Last updated
08/07/2026
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