Organization
NORTHEAST GEORGIA PHYSICIANS GROUP-URGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA HERNANDEZ (EXECUTIVE DIRECTOR)
(770) 219-8420
Entity
Organization
Contact information
Practice address
1515 RIVER PL STE 100, BRASELTON, GA 30517-5610
(770) 848-6195
Mailing address
PO BOX 1060, OAKWOOD, GA 30566-0018
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
12/23/2019
Last updated
10/19/2022
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