MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC NPI 1528612694

NPI Information

MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC is a primary care nurse practitioner in Atlanta, GA. MODERN INTERNAL MEDICINE URGENT CARE AND PRIMARY CARE INC NPI is 1528612694. The provider is registered as an organization entity type.

The provider's business location address is:

2457 MARTIN LUTHER KING JR, DR, SW
SUIT A
ATLANTA, GA
ZIP 30311
Phone: (704) 858-6851

The provider's authorized official is Hannah Quarshie .
The authorized official title is Np and has the following contact phone number (704) 858-6851.

The CLIA number assigned to this NPI record is 11D2183509 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/27/2019 and was last updated on 8/28/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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