Immediate Care Centers, Tyrone

LBN: Immediate Care Centers Of Georgia, Llc
Immediate Care Centers, Tyrone is an health care organization with primary practice located at 190 Greencastle Rd. , Tyrone GA 30290. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Immediate Care Centers Of Georgia, Llc can be contacted via phone (678) 895-0216, or through Bennett, Ray B via phone (678) 895-0216.

Contact Information

Primary practice address
190 Greencastle Rd. Tyrone GA 30290
Phone: (678) 895-0216
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Bennett, Ray B Doctor of Medicine (MD)
Phone: (678) 895-0216

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 056526 Georgia

Profile Details

NPI number 1689858805
LBN Legal business name Immediate Care Centers Of Georgia, Llc
DBA Doing business as Immediate Care Centers, Tyrone
Authorized official Bennett, Ray B Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 24th, 2007
Last updated Sep 9th, 2008 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689858805 NPPES
Georgia MEDICAID 152797525A

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