Organization
ATLANTA URGENT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NARENDRA K GUPTA MD (MEDICAL DIRECTOR)
(770) 495-0011
Entity
Organization
Contact information
Practice address
10160 MEDLOCK BRIDGE RD, STE 200, JOHNS CREEK, GA 30097-4419
(770) 495-0011
Mailing address
10160 MEDLOCK BRIDGE RD, STE 200, JOHNS CREEK, GA 30097-4419
(770) 495-0011
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
51657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11SCDNW
MEDICARE DOCTORS NUMBER
GA
05
—
161378374C
—
GA
Enumeration date
03/03/2009
Last updated
03/03/2009
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