CASTELLUM MEDICAL CONSULTANTS LLC NPI 1346858255

NPI Information

CASTELLUM MEDICAL CONSULTANTS LLC is an urgent care clinic center in Watkinsville, GA. CASTELLUM MEDICAL CONSULTANTS LLC NPI is 1346858255. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Primetime Urgent Care.

The provider's business location address is:

1618 MARS HILL RD STE A
WATKINSVILLE, GA
ZIP 30677-847
Phone: (706) 705-4543

The provider's authorized official is Robert N Price .
The authorized official title is Owner and has the following contact phone number (770) 284-5374.

The CLIA number assigned to this NPI record is 11D2195878 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/16/2020 and was last updated on 9/15/2021.

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:

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