Healthcare Provider Details

I. General information

NPI: 1356533483
Provider Name (Legal Business Name): CAMP CREEK EXPRESSCARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2007
Last Update Date: 08/13/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3515 CAMP CREEK POINTE DRIVE SUITE 110
EAST POINT GA
30344
US

IV. Provider business mailing address

2220 WISTERIA DR SUITE 208
SNELLVILLE GA
30078-2656
US

V. Phone/Fax

Practice location:
  • Phone: 678-252-2137
  • Fax: 678-336-7099
Mailing address:
  • Phone: 678-252-2137
  • Fax: 678-336-7099

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. SATYAJEET S PATEL
Title or Position: MEDICAL DIRECTOR
Credential: MD
Phone: 404-932-3317