Healthcare Provider Details

I. General information

NPI: 1326453671
Provider Name (Legal Business Name): HUTCHESON URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/25/2014
Last Update Date: 06/25/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4700 BATTLEFIELD PKWY SUITE 150
RINGGOLD GA
30736-5166
US

IV. Provider business mailing address

4700 BATTLEFIELD PKWY SUITE 150
RINGGOLD GA
30736-5166
US

V. Phone/Fax

Practice location:
  • Phone: 706-861-2826
  • Fax: 706-861-2773
Mailing address:
  • Phone: 706-861-2826
  • Fax: 706-861-2773

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: STACEY KAUFMANN
Title or Position: VICE PRESIDENT
Credential:
Phone: 706-858-2106