Organization
IMMEDIATE MEDCARE, LLC
Active
Other names
Immediate MedCare of Covington, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN RICE (PRESIDENT)
(470) 782-0200
Entity
Organization
Contact information
Practice address
7129 FLOYD ST NE, COVINGTON, GA 30014-1578
(470) 782-0200
Mailing address
7129 FLOYD ST NE, COVINGTON, GA 30014-1578
(470) 782-0200
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213425A
—
GA
Enumeration date
06/12/2019
Last updated
06/12/2019
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