Provider Demographics
NPI:1447569132
Name:TRUSTED URGENT CARE
Entity Type:Organization
Organization Name:TRUSTED URGENT CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AYODELE
Authorized Official - Middle Name:G
Authorized Official - Last Name:AYOOLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-983-7101
Mailing Address - Street 1:3255 LAWRENCEVILLE SUWANEE RD
Mailing Address - Street 2:SUITE P230
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6540
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3255 LAWRENCEVILLE SUWANEE RD
Practice Address - Street 2:P230
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6540
Practice Address - Country:US
Practice Address - Phone:443-983-7101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-29
Last Update Date:2010-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care