Organization
MODERN EMERGENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAYMOND ELIAS GUTIERREZ M.D. (MEDICAL DIRECTOR)
(770) 557-4220
Entity
Organization
Contact information
Practice address
5505 ROSWELL RD, SUITE 100, ATLANTA, GA 30342-1985
(404) 334-3000
(478) 333-6117
Mailing address
5505 ROSWELL RD, SUITE 100, ATLANTA, GA 30342-1985
(404) 334-3000
(478) 333-6117
Taxonomy
Speciality
Code
Description
License number
State
261QE0002X
Emergency Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/28/2014
Last updated
01/15/2015
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