Organization
ABSOLUTE HEALTH FAMILY & URGENT CARE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERNEST AMUKAMARA FNP (PRESIDENT)
(678) 232-3191
Entity
Organization
Contact information
Practice address
7574 GA 85, RIVERDALE, GA 30274
(000) 000-0000
(404) 393-7144
Mailing address
7574 GA 85, RIVERDALE, GA 30274-3447
(404) 393-7144
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
RN201832
GA
363LF0000X
Family Nurse Practitioner
Primary
RN201832
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1356529101
NPI
GA
05
—
817526188G
—
GA
Enumeration date
03/08/2018
Last updated
06/06/2018
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