MEDICARE: REDDY URGENT CARE 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	261QU0200X	Urgent Care Clinic/Center

General Provider Information

NPI Number	:	1104154673
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REDDY URGENT CARE LLC

Provider Business Mailing Address
First Line	:	1061 DOWDY RD
Second Line	:	SUIT 100
City	:	ATHENS
State	:	GA
Zip	:	30606-5700
Country	:	US
Telephone Number	:	706-621-7555
Fax Number	:	706-621-7557

Provider Business Practice Location Address
First Line	:	1061 DOWDY RD
Second Line	:	SUIT 100
City	:	ATHENS
State	:	GA
Zip	:	30606-5700
Country	:	US
Telephone Number	:	706-621-7555
Fax Number	:	706-621-7557

Authorized Official
Title or Position	:	MANAGING PARTNER
Name	:	DR. RAM K REDDY
Credential	:	M.D
Telephone Number	:	706-621-7555

Provider Enumeration Date	:	11/22/2009
Last Update Date	:	01/14/2020

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Directions to “REDDY URGENT CARE LLC ” Practice Location

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