Organization
CCS ROCK URGENT CARE & FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KODJO AZIAMADJI FNP (OWNER)
(678) 599-5477
Entity
Organization
Contact information
Practice address
1477 ROGERS CROSSING DR, LITHONIA, GA 30058-7007
(678) 599-5477
Mailing address
1477 ROGERS CROSSING DR, LITHONIA, GA 30058-7007
(678) 599-5477
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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