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MEDICI URGENT CARE AND WELLNESS CENTER NPI 1225630395


NPI Information

NPI: 1225630395
Provider Name: MEDICI URGENT CARE AND WELLNESS CENTER

Doing Business As: MEDICI URGENT CARE AND WELLNESS CENTER, LLC

Classification: Emergency Medicine - 207P00000X
Entity Type: Organization

CLIA Number: 11D2214289

Address:
1039 GRANT ST SE STE D12
ATLANTA, GA
ZIP 30315
Phone: (678) 736-5248
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MEDICI URGENT CARE AND WELLNESS CENTER is an emergency medicine in Atlanta, 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. MEDICI URGENT CARE AND WELLNESS CENTER NPI is 1225630395. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Medici Urgent Care And Wellness Center, Llc.

The provider's business location address is:

1039 GRANT ST SE STE D12
ATLANTA, GA
ZIP 30315-014
Phone: (678) 736-5248

The provider's authorized official is Mboh E Elango .
The authorized official title is Ceo/ Owner and has the following contact phone number (678) 778-6983.

The CLIA number assigned to this NPI record is 11D2214289 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/12/2020 and was last updated on 6/29/2021.


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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.