Healthcare Provider Details

I. General information

NPI: 1508577263
Provider Name (Legal Business Name): URGENT KIDS CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/13/2022
Last Update Date: 06/07/2023
Certification Date: 06/07/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5525 ABERCORN ST STE 25
SAVANNAH GA
31405-6941
US

IV. Provider business mailing address

5525 ABERCORN ST STE 25
SAVANNAH GA
31405-6941
US

V. Phone/Fax

Practice location:
  • Phone: 912-232-9700
  • Fax:
Mailing address:
  • Phone: 912-232-9700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State

VIII. Authorized Official

Name: JOSEPH GORDON
Title or Position: AUTHORIZED OFFICIAL
Credential:
Phone: 912-226-7707