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Contact Information

WELLSTAR URGENT CARE AT COOPER LAKE, LLC
4480 N COOPER LAKE ROAD SE
SUITE 100
SMYRNA, GA30082
 Phone: 770-331-1300
 Fax: 770-432-8312
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for WELLSTAR URGENT CARE AT COOPER LAKE, LLC

NPI Number 1215001888
LBN Legal business name WELLSTAR URGENT CARE AT COOPER LAKE, LLC
Authorized official NICOLE ASHE - (EXECUTIVE DIRECTOR OF FINANCE)
Entity Organization
Organization subpart 1 Yes
Enumeration date 11/17/2006
Last updated 07/14/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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