Imr Immediate Care, Llc

NPI 1134422157 - Nurse Practitioner - 363LF0000X

NPI Details
NPI 1134422157
Enumeration Date 12/14/2010
Last Updated 12/14/2010
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LISA MARIE LISA
Position MANAGING PARTNER
Phone (678) 957-1043
Fax (678) 957-1093
Practice Location
3540 DULUTH PARK LN
SUITE 260
DULUTH GA, 30096-6674, US
Phone (678) 957-1043
Fax (678) 957-1093
Business Location
3540 DULUTH PARK LN
SUITE 260
DULUTH GA, 30096-6674, US
Phone (678) 957-1043
Fax (678) 957-1093
Toxanomy
Taxonomy Code 363LF0000X
License State Georgia
License Number RN173213 NP
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According to our database, Imr Immediate Care, Llc NPI is 1134422157, taxonomy code is 363LF0000X and license number is RN173213 NP, license state is located at Georgia. Imr Immediate Care, Llc physically located at 3540 Duluth Park Ln, Duluth GA, 30096-6674. NPI Number 1033115704 has the healthcare provider type.

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1134422157 NPI number is provided on an as is basis without warranty of any kind. 1134422157 is maintained by the National Plan & Provider Enumeration System. The contents of Imr Immediate Care, Llc are for informational purposes only.