Provider Demographics
NPI:1760493738
Name:UC DOCS, PC
Entity Type:Organization
Organization Name:UC DOCS, PC
Other - Org Name:EAST DUBLIN URGENT CARE CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VASUDEV
Authorized Official - Middle Name:V
Authorized Official - Last Name:KULKARNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-275-1122
Mailing Address - Street 1:406 CENTRAL DR
Mailing Address - Street 2:P.O. BOX 13098
Mailing Address - City:EAST DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31027-7412
Mailing Address - Country:US
Mailing Address - Phone:478-275-1122
Mailing Address - Fax:478-274-9829
Practice Address - Street 1:406 CENTRAL DR
Practice Address - Street 2:
Practice Address - City:EAST DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31027-7412
Practice Address - Country:US
Practice Address - Phone:478-275-1122
Practice Address - Fax:478-274-9829
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-11
Last Update Date:2008-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA018512208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000132107BMedicaid
GA93BDMDVMedicare PIN
GAD45886Medicare UPIN