Urgent Care Xpress, LLC

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

License

2009275 Issued in GA

Legal business name

URGENT CARE XPRESS, LLC

Practice address

3330 South Cobb Drive
Ste: B
Smyrna, GA 30080

Phone

(770) 434-7830

Fax

(770) 434-7834

NPI assigned

Jun 16, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Marc Jay Tawil

Title

Cfo/Coo

Phone

(770) 434-7830

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1312761600000",
    "number": "1235366345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3316A SOUTH COBB DRIVE",
            "address_2": "STE: 187",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-434-7830",
            "fax_number": "770-434-7834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3330 SOUTH COBB DRIVE",
            "address_2": "STE: B",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "30080",
            "telephone_number": "770-434-7830",
            "fax_number": "770-434-7834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "URGENT CARE XPRESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-06-16",
        "last_updated": "2011-08-08",
        "status": "A",
        "authorized_official_last_name": "TAWIL",
        "authorized_official_first_name": "MARC",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "CFO/COO",
        "authorized_official_telephone_number": "770-434-7830",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "GA",
            "license": "2009275",
            "primary": true
        },
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GA",
            "license": "2009275",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Multi-Specialty Clinic/Center in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Multi-Specialty Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.