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Contact Information

ACWORTH IMMEDIATE CARE LLC
4450 CALIBRE CROSSING
SUITE 1104
ACWORTH, GA30101
 Phone: 770-975-6540
 Fax: 770-975-6541
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for ACWORTH IMMEDIATE CARE LLC · (Female)

NPI Number 1326218942
Status Active
Credentials
Entity Individual
Enumeration date 03/11/2008
Last updated 08/26/2008 - About 18 years ago
Sole proprietor 1 Not specified
Identifiers
  • GA Medicaid 842071171A
  • GA Other 52230468001 BCBS OF GA
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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