Organization
TENET UNIFOUR URGENT CARE CENTER LLC
Active
Other names
FryeCare Urgent Care - Conover
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL KYLE BURTNETT (SVP OF OUTPATIENT SERVICES, TENET)
(469) 893-2153
Entity
Organization
Contact information
Practice address
1105 FAIRGROVE CHURCH RD SE, CONOVER, NC 28613-9090
(828) 267-0551
(828) 267-0351
Mailing address
P.O. BOX 741330, ATLANTA, GA 30384-1330
(828) 267-0551
(828) 267-0351
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01766
BCBS
NC
05
—
89011F3
—
NC
01
—
CG6339
RAILROAD MEDICARE
—
Enumeration date
10/04/2005
Last updated
07/28/2016
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