Healthcare Provider Details

I. General information

NPI: 1245475771
Provider Name (Legal Business Name): MED NOW URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/12/2008
Last Update Date: 03/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 N BELAIR RD SUITE 101
EVANS GA
30809
US

IV. Provider business mailing address

104 N BELAIR RD SUITE 101
EVANS GA
30809
US

V. Phone/Fax

Practice location:
  • Phone: 706-922-3669
  • Fax: 706-364-7971
Mailing address:
  • Phone: 706-922-3669
  • Fax: 706-364-7971

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateGA

VIII. Authorized Official

Name: WILLIAM M. NEWTON
Title or Position: OWNER
Credential: MD
Phone: 706-922-3669