MEDICARE: GAINESVILLE URGENT MEDICAL CARE PC

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	:	1326135161
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GAINESVILLE URGENT MEDICAL CARE PC

Provider Business Mailing Address
First Line	:	7588 GARDNER PARK DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3414
Country	:	US
Telephone Number	:	703-753-7797
Fax Number	:	703-753-0993

Provider Business Practice Location Address
First Line	:	7588 GARDNER PARK DR
Second Line	:
City	:	GAINESVILLE
State	:	VA
Zip	:	20155-3414
Country	:	US
Telephone Number	:	703-753-7797
Fax Number	:	703-753-5560

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. BALWINDER SINGH
Credential	:	MD
Telephone Number	:	703-753-7797

Provider Enumeration Date	:	10/05/2006
Last Update Date	:	09/11/2020

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