Organization
LONG HAUL CLINIC, LLC
Active
Other names
Roadside Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEN KAREGEANNES (COO)
(678) 749-7803
Entity
Organization
Contact information
Practice address
10945 STATE BRIDGE RD, SUITE 401, ROOM 358, ALPHARETTA, GA 30022-8164
(678) 749-7803
Mailing address
10945 STATE BRIDGE RD, SUITE 401, ROOM 358, ALPHARETTA, GA 30022-8164
(678) 749-7803
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
08/05/2007
Last updated
08/05/2007
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