PROVIDENCE IMMEDIATE CARE INCORPORATED

VILLA RICA, GA
NPI1871816884
Entity TypeOrganization
Authorized ContactEWANE NGONE
President/CEO
678-907-2086
Organization Subpart ?No
Primary Taxonomy261QU0200X Clinic/Center, Urgent Care
Enumeration Date2010-03-04
Last Update Date2010-03-04
Business Address
PROVIDENCE IMMEDIATE CARE INCORPORATED
1002 OVERLOOK DR
VILLA RICA, GA 30180-5804
Phone number: 678-907-2086
Mailing Address
PROVIDENCE IMMEDIATE CARE INCORPORATED
1002 OVERLOOK DR
VILLA RICA, GA 30180-5804
Phone number: 678-907-2086
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