Provider Demographics
NPI:1316329923
Name:GET WELL URGENT CARE LLC
Entity type:Organization
Organization Name:GET WELL URGENT CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO & MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DINGANE
Authorized Official - Middle Name:
Authorized Official - Last Name:BARUTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:404-993-0303
Mailing Address - Street 1:6842 DOUGLAS BLVD STE K
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-1576
Mailing Address - Country:US
Mailing Address - Phone:404-937-3508
Mailing Address - Fax:404-973-2004
Practice Address - Street 1:6842 DOUGLAS BLVD STE K
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135
Practice Address - Country:US
Practice Address - Phone:404-937-3508
Practice Address - Fax:404-973-2004
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-19
Last Update Date:2018-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA055411261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003132308AMedicaid
GA003132308AMedicaid