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WELLSTAR URGENT CARE IN KENNESAW LLC NPI 1225084148


NPI Information

NPI: 1225084148
Provider Name: WELLSTAR URGENT CARE IN KENNESAW, LLC
Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 11D2096475

Address:
3805 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144
Phone: (770) 426-5665
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WELLSTAR URGENT CARE IN KENNESAW, LLC is an emergency medicine in Kennesaw, GA. The provider is an emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. WELLSTAR URGENT CARE IN KENNESAW, LLC NPI is 1225084148. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3805 CHEROKEE ST NW
KENNESAW, GA
ZIP 30144-085
Phone: (770) 426-5665
Fax: (770) 420-1792

The provider's authorized official is Nicole Ashe .
The authorized official title is Executive Director Of Finance and has the following contact phone number (770) 792-5261.

The CLIA number assigned to this NPI record is 11D2096475 - other with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 5/25/2006 and was last updated on 7/14/2008.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207P00000XEmergency MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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