Provider Demographics
NPI:1104154673
Name:REDDY URGENT CARE LLC
Entity type:Organization
Organization Name:REDDY URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAM
Authorized Official - Middle Name:K
Authorized Official - Last Name:REDDY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:706-621-7555
Mailing Address - Street 1:1061 DOWDY RD
Mailing Address - Street 2:SUIT 100
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-5700
Mailing Address - Country:US
Mailing Address - Phone:706-621-7555
Mailing Address - Fax:706-621-7557
Practice Address - Street 1:1061 DOWDY RD
Practice Address - Street 2:SUIT 100
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-5700
Practice Address - Country:US
Practice Address - Phone:706-621-7555
Practice Address - Fax:706-621-7557
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REDDY AND ASSOCIATES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2009-11-22
Last Update Date:2020-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care