OrganizationActive
South Atlanta Urgent Care Clinic LLC
NPI 1053767376 · Non-Pharmacy Dispensing Site · Atlanta, GA
Provider details
- NPI number
- 1053767376
- Entity type
- Organization
- Primary specialty
- Non-Pharmacy Dispensing SiteSuppliers
- Organization subpart
- No
- Authorized official
- Matthew Legowski, Operations(609) 703-5097
- License
- 055916 (GA)
Specialties & taxonomies
Suppliers
Practice location
5185 Old National Hwy
Atlanta, GA 30349-3244
Phone: (609) 703-5097
Approximate (ZIP-level) locationGet directions
Mailing address
5185 Old National Hwy
Atlanta, GA 30349-3244
Registry dates
- Enumerated
- 2016-05-05
- Last updated
- 2026-03-14
- Certified
- 2026-03-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.