National Provider Identifier Database

PREMIERE ONLINE URGENT CARE
Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)


Contact Information

PREMIERE ONLINE URGENT CARE
901 SUMMERS AVE
ORANGEBURG, SC29115-4931
Phone: 470-483-2992
Fax:
Website:
Specialty Taxonomy Code
* Ambulatory Fertility Facility 261QA0006X

* Indicates primary specialty

NPI Profile & details for PREMIERE ONLINE URGENT CARE

NPI Number 1932860418
Legal business name
LBN
PREMIERE ONLINE URGENT CARE
Authorized official SHAREKIA DASH - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 01/06/2022
Last updated 04/20/2022 - About 4 years ago
Sole proprietor1 Not specified
Identifiers
  • GA Medicaid: 061920860

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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