NORTHSIDE CHEROKEE URGENT CARE, LLC

Provider Demographics

• NPI: 1740515618
• Name: NORTHSIDE CHEROKEE URGENT CARE, LLC
• Entity type: Organization
• Organization Name: NORTHSIDE CHEROKEE URGENT CARE, LLC
• Authorized Official - Title/Position: PRESIDENT & CEO
• Authorized Official - First Name: MICHAEL
• Authorized Official - Middle Name: DOW
• Authorized Official - Last Name: BOURLAND
• Authorized Official - Credentials: MD
• Authorized Official - Phone: 770-994-9326
• Mailing Address - Street 1: 235 PEACHTREE ST NE
• Mailing Address - Street 2: NORTH TOWER, SUITE 2100
• Mailing Address - City: ATLANTA
• Mailing Address - State: GA
• Mailing Address - Zip Code: 30303-1401
• Mailing Address - Country: US
• Mailing Address - Phone: 770-994-9326
• Mailing Address - Fax: 770-994-4747
• Practice Address - Street 1: 235 PEACHTREE ST NE
• Practice Address - Street 2: NORTH TOWER, SUITE 2100
• Practice Address - City: ATLANTA
• Practice Address - State: GA
• Practice Address - Zip Code: 30303-1401
• Practice Address - Country: US
• Practice Address - Phone: 770-994-9326
• Practice Address - Fax: 770-994-4747
• EIN: <UNAVAIL>
• Is Organization Subpart?: No
• Enumeration Date: 2009-10-12
• Last Update Date: 2013-04-24

Provider Taxonomies

Primary?	Code	Type	Classification	Specialization
Yes	261QU0200X	Ambulatory Health Care Facilities	Clinic/Center	Urgent Care