# INMED CLINICAL SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** INMED CLINICAL SERVICES LLC
- **Other names:** North Shore Healthcare Associates - Urgent Care
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1861754202
- **Legal business name:** INMED CLINICAL SERVICES LLC
- **Authorized official:** VICKI F LAWRENSON (COO)
- **Authorized official phone:** (334) 386-0343

## Contact information

- **Practice address:** 331 RIDGECREST CIR, CLAYTON, GA 30525-4186
- **Practice address phone:** (706) 782-0440
- **Mailing address:** PO BOX 5013, MONTGOMERY, AL 36103-5013
- **Mailing address phone:** (334) 386-0343

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | — | — | Yes |
| 208M00000X | Hospitalist Physician | — | — | — |
| 363AM0700X | Medical Physician Assistant | — | — | — |
| 363LP2300X | Primary Care Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 06/12/2012
- **Last updated:** 06/12/2012