Healthcare Provider Details

I. General information

NPI: 1518418268
Provider Name (Legal Business Name): PHYSICIANS EXPRESS CARE AT DULUTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/18/2016
Last Update Date: 10/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2730 PEACHTREE INDUSTRIAL BLVD SUITE 101
DULUTH GA
30097-8626
US

IV. Provider business mailing address

1780 PEACHTREE PKWY SUITE 302
CUMMING GA
30041-6834
US

V. Phone/Fax

Practice location:
  • Phone: 770-772-1830
  • Fax:
Mailing address:
  • Phone: 770-772-1830
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RICHARD DUKES
Title or Position: OWNER
Credential: MD
Phone: 770-772-1830