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MLK URGENT CARE CENTER NPI 1801159298


NPI Information

NPI: 1801159298
Provider Name: MLK URGENT CARE CENTER
Classification: Clinic/Center - 261QM1300X
Entity Type: Organization

Specialization: Multi-Specialty

Address:
1276 CEDAR KEYS CT
STONE MOUNTAIN, GA
ZIP 30083
Phone: (770) 256-7033
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MLK URGENT CARE CENTER is a multi-specialty clinic center in Stone Mountain, GA. MLK URGENT CARE CENTER NPI is 1801159298. The provider is registered as an organization entity type.

The provider's business location address is:

1276 CEDAR KEYS CT
STONE MOUNTAIN, GA
ZIP 30083-811
Phone: (770) 256-7033

The provider's authorized official is Beverly Idris .
The authorized official title is Nurse and has the following contact phone number (770) 256-7033.

The enumeration date for this NPI number is 6/20/2012 and was last updated on 6/20/2012.


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
1261QM1300XClinic/CenterMulti-Specialty026238GEORGIAYes

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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