Healthcare Provider Details
I. General information
NPI: 1609257260
Provider Name (Legal Business Name): SMARTCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/09/2015
Last Update Date: 06/09/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1480 BAXTER ST
ATHENS GA
30606-6393
US
IV. Provider business mailing address
4400 PEACHTREE RD NE
BROOKHAVEN GA
30319-2729
US
V. Phone/Fax
- Phone: 706-543-0228
- Fax: 706-543-0242
- Phone: 404-814-9199
- Fax: 404-869-8118
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: DR.
ZOBAIR
NAGAMIA
Title or Position: CHIEF OF OPERATIONS
Credential: MD
Phone: 770-963-0927