Organization
U-FIRST HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOROTHY CRISOSTOMO (CEO)
(678) 908-0006
Entity
Organization
Contact information
Practice address
4228 1ST AVE STE 1, TUCKER, GA 30084-4426
(833) 583-4778
(833) 583-4779
Mailing address
4228 1ST AVE STE 1, TUCKER, GA 30084-4426
(833) 583-4778
(833) 583-4779
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
RN141244
GA
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/15/2017
Last updated
10/24/2023
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