Organization
PHYSCIANS IMMEDIATE MED OF CANTON, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES R COOLEY M.D. (OWNER)
(770) 720-7000
Entity
Organization
Contact information
Practice address
720 TRANSIT AVE STE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Mailing address
720 TRANSIT AVE STE 101, CANTON, GA 30114-2571
(770) 720-7000
(770) 720-7055
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
035839
GA
Other
Enumeration date
01/29/2007
Last updated
08/22/2020
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