Healthcare Provider Details
I. General information
NPI: 1205028883
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/16/2007
Last Update Date: 01/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
688 SPRING STREET
ATLANTA GA
30308
US
IV. Provider business mailing address
5080 SPECTRUM DR SUITE 1200 W
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 404-881-1155
- Fax: 404-811-9875
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QU0200X |
| Taxonomy | Urgent Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
ROBERT
HASSETT
Title or Position: PRESIDENT
Credential: DO
Phone: 972-364-8000