Healthcare Provider Details

I. General information

NPI: 1609388636
Provider Name (Legal Business Name): UC URGENT CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/31/2017
Last Update Date: 02/19/2021
Certification Date: 02/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6781 LONDONDERRY WAY
UNION CITY GA
30291-2094
US

IV. Provider business mailing address

217 MEDICAL WAY
RIVERDALE GA
30274-2522
US

V. Phone/Fax

Practice location:
  • Phone: 770-897-7043
  • Fax: 770-996-3529
Mailing address:
  • Phone: 770-897-7043
  • Fax: 770-996-3529

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. ONWURA MICHAEL OBIEKWE
Title or Position: CHIEF EXECUTIVE OFFICER
Credential: MD
Phone: 770-897-7043