Provider Demographics
NPI:1346441078
Name:EMERGENCY CARE USA GEORGIA P.C.
Entity Type:Organization
Organization Name:EMERGENCY CARE USA GEORGIA P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CHARLES
Authorized Official - Middle Name:J
Authorized Official - Last Name:O'HEARN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:972-745-7601
Mailing Address - Street 1:270 N DENTON TAP RD STE 250
Mailing Address - Street 2:
Mailing Address - City:COPPELL
Mailing Address - State:TX
Mailing Address - Zip Code:75019-2159
Mailing Address - Country:US
Mailing Address - Phone:972-745-7601
Mailing Address - Fax:972-745-7606
Practice Address - Street 1:660 W CROSSVILLE RD STE 110
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-7525
Practice Address - Country:US
Practice Address - Phone:770-649-0711
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-30
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency Care