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PHYSICIAN'S EXPRESS CARE AT CREEKSTONE NPI 1578955795


NPI Information

NPI: 1578955795
Provider Name: PHYSICIAN'S EXPRESS CARE AT CREEKSTONE

Doing Business As: PHYSICIAN'S EXPRESS CARE AT CREEKSTONE

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

Specialization: Urgent Care

CLIA Number: 11D2066290

Address:
1780 PEACHTREE PKWY STE 302
CUMMING, GA
ZIP 30041
Phone: (770) 772-1830
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PHYSICIAN'S EXPRESS CARE AT CREEKSTONE is an urgent care clinic center in Cumming, GA. PHYSICIAN'S EXPRESS CARE AT CREEKSTONE NPI is 1578955795. The provider is registered as an organization entity type.
The provider Is Doing Business As Physician's Express Care At Creekstone.

The provider's business location address is:

1780 PEACHTREE PKWY STE 302
CUMMING, GA
ZIP 30041-834
Phone: (770) 772-1830
Fax: (470) 239-7296

The provider's authorized official is Richard G Dukes .
The authorized official title is Owner and has the following contact phone number (770) 772-1830.

The CLIA number assigned to this NPI record is 11D2066290 - other - urgent care clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/25/2015 and was last updated on 9/2/2021.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent Care51875GEORGIAYes

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: 5/5/2024

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