MEDICARE: FAIRVIEW URGENT CARE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1962944991
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FAIRVIEW URGENT CARE, LLC

Provider Business Mailing Address
First Line	:	2150 WEHRLE DR
Second Line	:	SUITE 400
City	:	WILLIAMSVILLE
State	:	NY
Zip	:	14221-7099
Country	:	US
Telephone Number	:	716-580-7208
Fax Number	:

Provider Business Practice Location Address
First Line	:	4475 WEST VILLAGE PKWY
Second Line	:
City	:	ELLENWOOD
State	:	GA
Zip	:	30294
Country	:	US
Telephone Number	:	716-580-7208
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. GREGORY F DANIEL
Credential	:	M.D.
Telephone Number	:	716-580-7208

Provider Enumeration Date	:	11/08/2016
Last Update Date	:	03/13/2017

Similar Medicare Providers

1740123603 — ADEDOYIN ADEOGUN NP
Practice Location Address:

5747 PECAN GRV
ELLENWOOD, GA
30294-3979

Practice Phone: 678-764-4305
Practice Fax:

1437145950 — SOUTHERN CRESCENT PEDIATRICS PC
Practice Location Address:

191 FAIRVIEW RD
ELLENWOOD, GA
30294-2722

Practice Phone: 770-389-5500
Practice Fax: 770-389-4959

1326020876 — DR. MELODY LAWANDA BRAY-ROSS MD
Practice Location Address:

3559 SPRING SHLS
ELLENWOOD, GA
30294-4237

Practice Phone: 404-241-6032
Practice Fax:

1861462624 — DORNEL J LEWIS NURSE PRACTITIONER
Practice Location Address:

2808 E ATLANTA RD , SUITE 344
ELLENWOOD, GA
30294-2780

Practice Phone: 404-434-0401
Practice Fax:

1356300651 — JA NA MONIQUE HOLYFIELD PA
Practice Location Address:

211 FAIRVIEW RD
ELLENWOOD, GA
30294-2721

Practice Phone: 678-289-6747
Practice Fax: 678-289-6750

1912944083 — EASTLYN E HARDING-MARIN M.D.
Practice Location Address:

211 FAIRVIEW RD
ELLENWOOD, GA
30294-2721

Practice Phone: 770-507-4554
Practice Fax: 770-507-6413

1447290218 — AYLO HEALTH, LLC
Practice Location Address:

211 FAIRVIEW RD
ELLENWOOD, GA
30294-2721

Practice Phone: 678-289-6747
Practice Fax: 678-289-6750

Directions to “FAIRVIEW URGENT CARE, LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.