Healthcare Provider Details
I. General information
NPI: 1275178600
Provider Name (Legal Business Name): PDQ URGENT CARE PC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/08/2019
Last Update Date: 08/15/2024
Certification Date: 08/15/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
3319C MEMORIAL PKWY SW
HUNTSVILLE AL
35801-5342
US
IV. Provider business mailing address
2060 RESCUE RD
UNION GROVE AL
35175-5130
US
V. Phone/Fax
- Phone: 256-489-5838
- Fax: 256-489-5830
- Phone: 205-542-2084
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
MARK
FRUENDT
Title or Position: OWNER
Credential: DO
Phone: 205-542-2084