MEDICARE: URGENT CARE CLINICS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	062641	GA

General Provider Information

NPI Number	:	1043443773
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	URGENT CARE CLINICS LLC

Provider Business Mailing Address
First Line	:	1975 NOCTURNE DR UNIT 2203
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-7619
Country	:	US
Telephone Number	:	216-731-1919
Fax Number	:

Provider Business Practice Location Address
First Line	:	1975 NOCTURNE DR UNIT 2203
Second Line	:
City	:	ALPHARETTA
State	:	GA
Zip	:	30009-7619
Country	:	US
Telephone Number	:	216-731-1919
Fax Number	:

Authorized Official
Title or Position	:	OFFICER
Name	:	CHARLES ABUNYEWA
Credential	:	MD
Telephone Number	:	216-731-1919

Provider Enumeration Date	:	08/28/2009
Last Update Date	:	08/28/2009

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Directions to “URGENT CARE CLINICS LLC ” Practice Location

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