Organization
REGIONAL URGENT CARE CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LIBBY RENFROE (CREDENTIALING SPECIALIST)
(706) 660-6410
Entity
Organization
Contact information
Practice address
101 13TH ST, SUITE 200, COLUMBUS, GA 31901-2101
(706) 494-4949
(706) 494-4940
Mailing address
PO BOX 1038, COLUMBUS, GA 31902-1038
(706) 660-6410
(706) 660-2847
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529926720
—
AL
05
—
984817407A
—
GA
Enumeration date
05/02/2006
Last updated
11/18/2015
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