Provider Demographics
NPI:1649544370
Name:KIDS PROMPT CARE, LLC
Entity type:Organization
Organization Name:KIDS PROMPT CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:GRANT
Authorized Official - Last Name:GETTS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-863-1440
Mailing Address - Street 1:4106 COLUMBIA RD
Mailing Address - Street 2:STE 103
Mailing Address - City:MARTINEZ
Mailing Address - State:GA
Mailing Address - Zip Code:30907-1450
Mailing Address - Country:US
Mailing Address - Phone:706-863-1440
Mailing Address - Fax:706-863-5418
Practice Address - Street 1:1456 WALTON WAY
Practice Address - Street 2:SUITE A
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30901-2674
Practice Address - Country:US
Practice Address - Phone:706-863-1440
Practice Address - Fax:706-863-5418
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:COVENANT MANAGEMENT SERVICES OF THE CSRA, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2012-02-27
Last Update Date:2013-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA27377261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care