Healthcare Provider Details
I. General information
NPI: 1093350142
Provider Name (Legal Business Name): AMERICAN CURRENT CARE P.A .
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/13/2019
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1393 CELANESE RD
ROCK HILL SC
29732-1722
US
IV. Provider business mailing address
5080 SPECTRUM DR STE 1200W
ADDISON TX
75001-4624
US
V. Phone/Fax
- Phone: 803-329-3103
- Fax: 803-327-7937
- Phone: 972-364-8000
- 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 | |
VIII. Authorized Official
Name:
ROBERT
G
HASSETT
Title or Position: VICE PRESIDENT
Credential: DO
Phone: 972-364-8000