Provider Demographics
NPI:1417748179
Name:STARS MEDICAL AND PSYCHIATRIC URGENT CARE LLC
Entity type:Organization
Organization Name:STARS MEDICAL AND PSYCHIATRIC URGENT CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MD/CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHRISS
Authorized Official - Middle Name:ILUNGA
Authorized Official - Last Name:MULUMBA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-253-1350
Mailing Address - Street 1:4330 JOHNS CREEK PKWY STE 400
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-6120
Mailing Address - Country:US
Mailing Address - Phone:470-253-1350
Mailing Address - Fax:470-253-1349
Practice Address - Street 1:4330 JOHNS CREEK PKWY STE 400
Practice Address - Street 2:
Practice Address - City:SUWANEE
Practice Address - State:GA
Practice Address - Zip Code:30024-6120
Practice Address - Country:US
Practice Address - Phone:470-253-1350
Practice Address - Fax:470-253-1349
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-13
Last Update Date:2025-05-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty