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IMMEDIATE MEDCARE OF RIVERSTONELLC NPI 1104954106


NPI Information

NPI: 1104954106
Provider Name: IMMEDIATE MEDCARE OF RIVERSTONE,LLC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

Address:
101 RIVERSTONE VIS
BLUE RIDGE, GA
ZIP 30513
Phone: (706) 258-4400
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IMMEDIATE MEDCARE OF RIVERSTONE,LLC is an urgent care clinic center in Blue Ridge, GA. IMMEDIATE MEDCARE OF RIVERSTONE,LLC NPI is 1104954106. The provider is registered as an organization entity type.

The provider's business location address is:

101 RIVERSTONE VIS
BLUE RIDGE, GA
ZIP 30513-648
Phone: (706) 258-4400
Fax: (706) 258-4404

The provider's authorized official is Jordan T Rice .
The authorized official title is Ceo and has the following contact phone number (404) 467-4440.

The enumeration date for this NPI number is 3/1/2007 and was last updated on 8/21/2007.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
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: 5/5/2024

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