Provider Demographics
NPI:1487046603
Name:PHYSICIANS EXPRESS CARE LLC
Entity type:Organization
Organization Name:PHYSICIANS EXPRESS CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHERRY
Authorized Official - Middle Name:DARLENE
Authorized Official - Last Name:DUKES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-695-7339
Mailing Address - Street 1:1780 PEACHTREE PKWY STE 302
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-6834
Mailing Address - Country:US
Mailing Address - Phone:770-772-1830
Mailing Address - Fax:470-839-2153
Practice Address - Street 1:11758 JONES BRIDGE RD
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-5065
Practice Address - Country:US
Practice Address - Phone:770-772-1830
Practice Address - Fax:770-772-7238
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-25
Last Update Date:2024-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA51875261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care