Provider Demographics
NPI:1851633390
Name:AMC/NORTH FULTON URGENT CARE #3 LLC
Entity Type:Organization
Organization Name:AMC/NORTH FULTON URGENT CARE #3 LLC
Other - Org Name:MEDPOST URGENT CARE - ATLANTA HIGHWAY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SVP OF OUTPATIENT SERVICES, TENET
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:KYLE
Authorized Official - Last Name:BURTNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-893-2153
Mailing Address - Street 1:5655 ATLANTA HWY
Mailing Address - Street 2:SUITE 1
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5208
Mailing Address - Country:US
Mailing Address - Phone:770-343-6364
Mailing Address - Fax:770-343-6368
Practice Address - Street 1:5655 ATLANTA HWY
Practice Address - Street 2:SUITE 1
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-5208
Practice Address - Country:US
Practice Address - Phone:770-343-6364
Practice Address - Fax:770-343-6368
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-03-22
Last Update Date:2016-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care