Provider Demographics
NPI:1295695781
Name:3:16 URGENT CARE LLC
Entity type:Organization
Organization Name:3:16 URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALLISON
Authorized Official - Middle Name:K
Authorized Official - Last Name:KEY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-537-1234
Mailing Address - Street 1:PO BOX 728
Mailing Address - Street 2:
Mailing Address - City:BREMEN
Mailing Address - State:GA
Mailing Address - Zip Code:30110-0728
Mailing Address - Country:US
Mailing Address - Phone:770-537-1234
Mailing Address - Fax:770-537-1237
Practice Address - Street 1:1009 ALABAMA AVE S
Practice Address - Street 2:
Practice Address - City:BREMEN
Practice Address - State:GA
Practice Address - Zip Code:30110-2501
Practice Address - Country:US
Practice Address - Phone:678-821-6400
Practice Address - Fax:770-537-1237
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:3:16 HEALTHCARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-11-17
Last Update Date:2025-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty