Healthcare Provider Details

I. General information

NPI: 1588429906
Provider Name (Legal Business Name): URGENT CARE FOR WOMEN LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/15/2024
Last Update Date: 05/05/2025
Certification Date: 05/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11110 SERENBE LN STE 100
CHATTAHOOCHEE HILLS GA
30268-2554
US

IV. Provider business mailing address

11110 SERENBE LN STE 100
CHATTAHOOCHEE HILLS GA
30268-2554
US

V. Phone/Fax

Practice location:
  • Phone: 788-900-9846
  • Fax: 786-890-6262
Mailing address:
  • Phone: 678-890-0984
  • Fax: 678-890-6262

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number
License Number State

VIII. Authorized Official

Name: SONGHAI CLESTINE BARCLIFT
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 786-890-0984