Provider Demographics
NPI:1609546365
Name:HEALTH CHOICE URGENT CARE LLC
Entity Type:Organization
Organization Name:HEALTH CHOICE URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:PRIDEAUX
Authorized Official - Last Name:LAKEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-656-2730
Mailing Address - Street 1:216 CENTERVIEW DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-3226
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5255 PEACHTREE BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CHAMBLEE
Practice Address - State:GA
Practice Address - Zip Code:30341-3250
Practice Address - Country:US
Practice Address - Phone:770-542-0752
Practice Address - Fax:770-542-0753
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEALTH CHOICE URGENT CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-09-15
Last Update Date:2021-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care