| NPI | 1083069207 |
|---|---|
| Doing Business As | BROAD STREET REDDY URGENT CARE |
| Entity Type | Organization |
| Authorized Contact | JOHN ADAM JOYAVE Revenue Cycle Manager 706-363-9229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2016-04-25 |
| Last Update Date | 2016-04-25 |