Healthcare Provider Details
I. General information
NPI: 1447610373
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: 03/04/2016
Last Update Date: 08/30/2021
Certification Date: 08/30/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
318 MALL BLVD STE 300B
SAVANNAH GA
31406-4758
US
IV. Provider business mailing address
60 EXCHANGE ST STE B7
RICHMOND HILL GA
31324-7646
US
V. Phone/Fax
- Phone: 912-358-1515
- Fax: 912-480-0505
- Phone: 912-756-2273
- 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 | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QX0100X |
| Taxonomy | Occupational Medicine Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CATHERINE
CORISH
GRANT
Title or Position: OWNER
Credential: PA-C
Phone: 912-756-2273