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NPI 1659425825

NPI 1659425825 : URGENT CARE AT CHILDREN'S, INC. : BROOKHAVEN, GA

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General NPI Number Information
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    NPI Number           |    1659425825
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    Entity Type          |    Organization 
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    Legal Business Name  |    URGENT CARE AT CHILDREN'S, INC. 
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Dates
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    Enumeration Date     |    01/23/2007
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    1575 NORTHEAST EXPY NE 
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    City                 |    BROOKHAVEN
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    State                |    GA
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    Zip                  |    30329-2401
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    Country              |    US
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    Telephone            |    404-785-8000
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1575 NORTHEAST EXPY NE 
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    City                 |    BROOKHAVEN
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    State                |    GA
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    Zip                  |    30329-2401
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     RUTH  FOWLER 
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    Credential           |    
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    Telephone            |    404-785-5437
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    
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    License Number State |    
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