Provider Demographics
NPI:1346138674
Name:URGENT CARE MD
Entity type:Organization
Organization Name:URGENT CARE MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:TRUONG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-433-0346
Mailing Address - Street 1:4500 SATELLITE BLVD STE 1140
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-5048
Mailing Address - Country:US
Mailing Address - Phone:678-404-7643
Mailing Address - Fax:678-348-7331
Practice Address - Street 1:4500 SATELLITE BLVD STE 1140
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-5048
Practice Address - Country:US
Practice Address - Phone:678-404-7643
Practice Address - Fax:678-348-7331
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care