Organization
KAYS URGENT CARE CLINIC LLC
Active
Other names
KAYS URGENT CARE CLINC
Organization subpart
No
Provider details
NPI number
Authorized official
KAY YETUNDE JOHNSON NP (OWNER)
(678) 549-2323
Entity
Organization
Contact information
Practice address
4171 MARIETTA ST, POWDER SPRINGS, GA 30127-2696
(678) 549-2323
(404) 609-1268
Mailing address
4171 MARIETTA ST, POWDER SPRINGS, GA 30127-2696
(678) 549-2323
Taxonomy
Speciality
Code
Description
License number
State
163WW0000X
Wound Care Registered Nurse
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
01
—
05
—
1790167856
—
GA
Enumeration date
06/25/2022
Last updated
08/20/2024
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