Organization
SOUTH ATLANTA URGENT CARE CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX AMOA-BONSU MD (OWNER)
(404) 903-8830
Entity
Organization
Contact information
Practice address
5185 OLD NATIONAL HWY, ATLANTA, GA 30349-3244
(404) 763-9300
(404) 763-9304
Mailing address
5185 OLD NATIONAL HWY, ATLANTA, GA 30349-3244
(404) 763-9300
(404) 763-9306
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
055916
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003114111A
—
GA
Enumeration date
05/12/2010
Last updated
06/25/2014
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