Healthcare Provider Details
I. General information
NPI: 1841506458
Provider Name (Legal Business Name): STOPWATCH URGENT CARE CENTERS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/20/2010
Last Update Date: 04/19/2022
Certification Date: 04/19/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2415 MOORES MILL RD SUITE 230
AUBURN AL
36830-8480
US
IV. Provider business mailing address
2415 MOORES MILL RD SUITE 230
AUBURN AL
36830-8480
US
V. Phone/Fax
- Phone: 334-502-1117
- Fax: 334-466-2101
- Phone: 334-502-1117
- Fax: 334-466-2101
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
LOGAN
MCCALL
Title or Position: OFFICE MANAGER
Credential:
Phone: 843-322-1933