Healthcare Provider Details

I. General information

NPI: 1003529652
Provider Name (Legal Business Name): RAPID TRACK URGENT CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2022
Last Update Date: 10/03/2023
Certification Date: 10/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 SUNSET DR
GRENADA MS
38901-4063
US

IV. Provider business mailing address

1201 SUNSET DR
GRENADA MS
38901-4063
US

V. Phone/Fax

Practice location:
  • Phone: 662-417-2577
  • Fax: 662-442-2350
Mailing address:
  • Phone: 662-417-2577
  • Fax: 662-442-2350

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: MRS. AUDREY LEANN WILLIAMSON
Title or Position: FNP
Credential: FNP-C
Phone: 662-417-2577