Provider Demographics
NPI:1952002818
Name:SPEEDY URGENT CARE LLC
Entity Type:Organization
Organization Name:SPEEDY URGENT CARE LLC
Other - Org Name:SPEEDY URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:RALPH
Authorized Official - Middle Name:
Authorized Official - Last Name:UZOKWE
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:678-678-6838
Mailing Address - Street 1:34 UPPER RIVERDALE RD SE STE 100B
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:GA
Mailing Address - Zip Code:30274-2635
Mailing Address - Country:US
Mailing Address - Phone:678-651-8300
Mailing Address - Fax:770-892-1045
Practice Address - Street 1:34 UPPER RIVERDALE RD SE STE 100B
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:GA
Practice Address - Zip Code:30274-2635
Practice Address - Country:US
Practice Address - Phone:678-651-8300
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-16
Last Update Date:2023-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Multi-Specialty
No261QE0002XAmbulatory Health Care FacilitiesClinic/CenterEmergency CareGroup - Multi-Specialty