Basic Information
| Provider Information | |||||||||
| NPI: | 1326132788 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | UNIVERSITY PROMPT CARE | ||||||||
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| Mailing Information | |||||||||
| Address1: | 447 N BELAIR RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | EVANS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7068542222 | ||||||||
| FaxNumber: | 7068542223 | ||||||||
| Practice Location | |||||||||
| Address1: | 447 N BELAIR RD | ||||||||
| Address2: | SUITE 101 | ||||||||
| City: | EVANS | ||||||||
| State: | GA | ||||||||
| PostalCode: | 30809 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7068542222 | ||||||||
| FaxNumber: | 7068542223 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/02/2006 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | EPSTEIN | ||||||||
| AuthorizedOfficialFirstName: | DONNA | ||||||||
| AuthorizedOfficialMiddleName: | A | ||||||||
| AuthorizedOfficialTitleorPosition: | BUSINESS MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7068542222 | ||||||||
| IsSoleProprietor: | |||||||||
| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | MS. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 261QU0200X | Y | Ambulatory Health Care Facilities | Clinic/Center | Urgent Care |
No ID Information.