Provider Demographics
NPI:1881863421
Name:DOCTORS WALK-IN CLINIC
Entity Type:Organization
Organization Name:DOCTORS WALK-IN CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSCIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ACHHINDER
Authorized Official - Middle Name:K
Authorized Official - Last Name:OHRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-729-8989
Mailing Address - Street 1:2100 SUITE 3 CENTRAL AVENUE
Mailing Address - Street 2:
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30904-6709
Mailing Address - Country:US
Mailing Address - Phone:706-729-8989
Mailing Address - Fax:706-729-8930
Practice Address - Street 1:2100 SUITE 3 CENTRAL AVENUE
Practice Address - Street 2:
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30904-6709
Practice Address - Country:US
Practice Address - Phone:706-729-8989
Practice Address - Fax:706-729-8930
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-02-28
Last Update Date:2008-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA208D00000X174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP6072OtherMEDICARE GRP #