Provider Demographics
NPI:1467491746
Name:MEDASCEND USA URGENT CARE CENTERS INC
Entity Type:Organization
Organization Name:MEDASCEND USA URGENT CARE CENTERS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:S
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-690-4250
Mailing Address - Street 1:3330 CUMBERLAND BLVD
Mailing Address - Street 2:500
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-5997
Mailing Address - Country:US
Mailing Address - Phone:770-690-4250
Mailing Address - Fax:770-690-4252
Practice Address - Street 1:3330 CUMBERLAND BLVD
Practice Address - Street 2:500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5997
Practice Address - Country:US
Practice Address - Phone:770-690-4250
Practice Address - Fax:770-690-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care