Healthcare Provider Details
I. General information
NPI: 1619166337
Provider Name (Legal Business Name): AMERICAN CURRENT CARE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/18/2007
Last Update Date: 01/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
109 MINUS AVENUE SUITE C-10
GARDEN CITY GA
31408-2128
US
IV. Provider business mailing address
5080 SPECTRUM DR SUITE 1200W
ADDISON TX
75001-4648
US
V. Phone/Fax
- Phone: 912-966-5445
- Fax: 912-966-5955
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| 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