Healthcare Provider Details

I. General information

NPI: 1326706839
Provider Name (Legal Business Name): THE URGENT CARE CENTER OF RICHMOND HILL, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/01/2021
Last Update Date: 12/22/2021
Certification Date: 12/22/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2201 POOLER PKWY STE 700
POOLER GA
31322-4407
US

IV. Provider business mailing address

60 EXCHANGE ST STE B7
RICHMOND HILL GA
31324-7646
US

V. Phone/Fax

Practice location:
  • Phone: 912-756-2273
  • Fax:
Mailing address:
  • Phone: 912-756-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QX0100X
TaxonomyOccupational Medicine Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CATHERINE CORISH GRANT
Title or Position: CEO
Credential:
Phone: 912-756-2273