Organization
CARTERSVILLE URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEFF RYDBURG (VP)
(615) 373-7600
Entity
Organization
Contact information
Practice address
824 WEST AVE, CARTERSVILLE, GA 30120-6100
(678) 721-5570
Mailing address
824 WEST AVE, CARTERSVILLE, GA 30120-6100
(678) 721-5570
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
GA
207Q00000X
Family Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
52230467001
BCBS OF GA
GA
01
—
5837030001
MEDICARE DME
SC
05
—
823710629A
—
GA
Enumeration date
06/06/2006
Last updated
06/04/2008
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