Provider Type Icon

LONG HAUL CLINIC LLC NPI 1275724486


NPI Information

NPI: 1275724486
Provider Name: LONG HAUL CLINIC, LLC

Doing Business As: ROADSIDE MEDICAL CLINIC

Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
10945 STATE BRIDGE RD
SUITE 401, ROOM 358
ALPHARETTA, GA
ZIP 30022
Phone: (678) 749-7803
Get Directions

LONG HAUL CLINIC, LLC is an urgent care clinic center in Alpharetta, GA. LONG HAUL CLINIC, LLC NPI is 1275724486. The provider is registered as an organization entity type.
The provider Is Doing Business As Roadside Medical Clinic.

The provider's business location address is:

10945 STATE BRIDGE RD
SUITE 401, ROOM 358
ALPHARETTA, GA
ZIP 30022-164
Phone: (678) 749-7803

The provider's authorized official is Ken Karegeannes .
The authorized official title is Coo and has the following contact phone number (678) 749-7803.

The enumeration date for this NPI number is 8/5/2007 and was last updated on 8/5/2007.


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
1261QU0200XClinic/CenterUrgent CareYes

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: 4/28/2024

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.