Organization
MLK URGENT CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BEVERLY IDRIS AAS (NURSE)
(770) 256-7033
Entity
Organization
Contact information
Practice address
1276 CEDAR KEYS CT, STONE MOUNTAIN, GA 30083-1811
(770) 256-7033
Mailing address
2015 MLK DR SW # JR, SUITE C, ATLANTA, GA 30310-1187
(770) 256-7033
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
026238
GA
Other
Enumeration date
06/20/2012
Last updated
06/20/2012
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