Organization
JUDITH RUTH MEDICAL CENTER LLC
Active
Organization
JUDITH RUTH MEDICAL CENTER LLC
Active
Other names
Judith Ruth Medical Center LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NATALIE MCCALL-GASTON FNP (CEO/FOUNDER)
(404) 793-3806
Entity
Organization
Contact information
Practice address
10494 VETERANS MEMORIAL HWY STE 5, LITHIA SPRINGS, GA 30122-2061
(404) 793-3806
(770) 502-6715
Mailing address
10494 VETERANS MEMORIAL HWY STE 5, LITHIA SPRINGS, GA 30122-2061
(404) 793-3806
(770) 502-6715
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003137957D
—
GA
Enumeration date
05/25/2023
Last updated
03/25/2025
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