Acworth Immediate Care LLC
Organization Active NPI Emergency Medicine Physician · Acworth, GA
NPI 1326218942 · NPPES record last updated Aug 26, 2008
Key facts
- NPI
- 1326218942
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- Legal business name
- ACWORTH IMMEDIATE CARE LLC
- Practice address
- 4450 Calibre Crossing
Suite 1104
Acworth, GA 30101 - Phone
- (770) 975-6540
- Fax
- (770) 975-6541
- NPI assigned
- Mar 11, 2008
- Organization subpart
- No
Authorized official
- Name
- Gary Duncan
- Title
- VP
- Phone
- (615) 373-5135
Practitioners 7
-
John R. Destito, DO
-
Cheryl Reinhardt, M.D.
-
Etienne Jose Rodriguez, M.D.
-
Karl Astaphan, MD
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician |
207P00000X | Yes |
Addresses
Primary practice location
4450 Calibre Crossing
Suite 1104
Acworth, GA 30101
Mailing address
4450 Calibre Crossing
Suite 1104
Acworth, GA 30101
Phone (770) 975-6540
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 842071171A | Medicaid | GA | |
| 52230468001 | Other | GA | BCBS OF GA |
Other names
- Acworth Immediate Care
Other providers in Acworth, GA
- Acworth Community Hospice LLC
- Acworth Dental LLC
- Acworth Durable Medical Equipment LLC
- Acworth Family Chiropractic Center
- Acworth Family Practice LLC
- Acworth Medical and Respite Care
- Acworth Outpatient Detox, LLC
- Acworth Outpatient Treatment LLC
- Acworth Pain Management Center Inc
- Acworth Pulmonary and Sleep LLC
All providers in Acworth, GA · Emergency Medicine Physician in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 26, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.