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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

NPI # 1326218942
LBN Legal business name ACWORTH IMMEDIATE CARE LLC
Authorized official GARY DUNCAN - (VP)
Entity Organization
Organization subpart 1 No
Enumeration date 03/11/2008
Last updated 08/26/2008 - About 18 years ago
Identifiers
GA Medicaid 842071171A
GA Other 52230468001 BCBS OF GA
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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