Healthcare Provider Details

I. General information

NPI: 1598028987
Provider Name (Legal Business Name): URGENT CARES OF AMERICA NORTH CAROLINA INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/20/2012
Last Update Date: 06/20/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 S STRATFORD RD
WINSTON SALEM NC
27103-1820
US

IV. Provider business mailing address

935 SHOTWELL RD SUITE 108
CLAYTON NC
27520-5597
US

V. Phone/Fax

Practice location:
  • Phone: 336-714-5399
  • Fax: 336-448-1191
Mailing address:
  • Phone: 919-550-0821
  • Fax: 919-719-3645

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number State

VIII. Authorized Official

Name: KATRINA CATTO
Title or Position: VP OF PRACTICE SERVICES
Credential:
Phone: 919-550-0821