Healthcare Provider Details

I. General information

NPI: 1144943127
Provider Name (Legal Business Name): FLYCARE, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2022
Last Update Date: 09/23/2022
Certification Date: 09/23/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2178 WALDROP RD
MARIETTA GA
30066-4233
US

IV. Provider business mailing address

2178 WALDROP RD
MARIETTA GA
30066-4233
US

V. Phone/Fax

Practice location:
  • Phone: 601-572-9909
  • Fax:
Mailing address:
  • Phone: 601-572-9909
  • 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. RICHISA HAMILTON
Title or Position: OWNER
Credential: MD
Phone: 601-572-9909