| Summit Health Primary And Urgent Care Llc | |
|
120 Handley Rd Bldg 400 Ste #410 Tyrone GA 30290-3029 | |
| (678) 430-8478 | |
| Not Available |
| Full Name | Summit Health Primary And Urgent Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 120 Handley Rd Bldg 400 Ste #410, Tyrone, Georgia |
| Authorized Official Name and Position | Jared Deraney (OWNER) |
| Authorized Official Contact | 4804820934 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Summit Health Primary And Urgent Care Llc Po Box 935719 Atlanta GA 31193-5719 Ph: (678) 430-8478 | Summit Health Primary And Urgent Care Llc 120 Handley Rd Bldg 400 Ste #410 Tyrone GA 30290-3029 Ph: (678) 430-8478 |
| NPI Number | 1730729849 |
|---|---|
| Provider Enumeration Date | 01/07/2020 |
| Last Update Date | 10/02/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730729849 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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