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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