National Provider Identifier Database

ACWORTH IMMEDIATE CARE LLC
Emergency Medicine

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.


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
* Emergency Medicine 207P00000X

* Indicates primary specialty

NPI Profile & details for ACWORTH IMMEDIATE CARE LLC

NPI Number 1326218942
Legal business name
LBN
ACWORTH IMMEDIATE CARE LLC
Authorized official GARY DUNCAN - (VP)
Entity Organization
Organization subpart No
Enumeration date 03/11/2008
Last updated 08/26/2008 - About 18 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 842071171A
  • GA Other: 52230468001 BCBS OF GA

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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