Organization
SPATIUM URGENT CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AGHOGHO OMENE-IRORO MD (PRESIDENT)
(443) 803-3372
Entity
Organization
Contact information
Practice address
3595 CANTON RD STE 316, MARIETTA, GA 30066-2693
(678) 932-2121
Mailing address
3595 CANTON RD STE 17, MARIETTA, GA 30066-2658
(770) 820-1290
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
10/18/2023
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