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NPI Code Detail

MEDICARE: MEMORIAL HEALTH URGENTONE, INC.

MEDICARE: MEMORIAL HEALTH URGENTONE, INC.
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
1207Q00000XFamily Medicine Physician
2207R00000XInternal Medicine Physician
3208D00000XGeneral Practice Physician
4363A00000XPhysician Assistant
5363L00000XNurse Practitioner
6207P00000XEmergency Medicine Physician

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1801818844
Entity Type Code : Organization
Provider Name (Legal Business Name) : MEMORIAL HEALTH URGENTONE, INC.
Provider Business Mailing Address
First Line : PO BOX 102482
Second Line :
City : ATLANTA
State : GA
Zip : 30368-2482
Country : US
Telephone Number : 912-350-2128
Fax Number : 912-350-2145
Provider Business Practice Location Address
First Line : 14089 ABERCORN ST
Second Line :
City : SAVANNAH
State : GA
Zip : 31419-1966
Country : US
Telephone Number : 912-350-2128
Fax Number : 912-350-2145
Authorized Official
Title or Position : PROVIDER ENROLLMENT COORDINATOR
Name : MRS. ROBIN J. MADDOX
Credential :
Telephone Number : 912-350-9335
Provider Enumeration Date : 07/25/2006
Last Update Date : 05/20/2011

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Directions to “MEMORIAL HEALTH URGENTONE, INC. ” Practice Location

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