Egleston Affiliated Services

NPI #1225102411 in Morrow, Georgia

Provider Information

NPI Number: 1225102411
Entity Type: Organization
Organization Name: Egleston Affiliated Services
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Nov 20, 2006
Last Updated: Apr 3, 2023

Practice Location

Address: 2201 MOUNT ZION PKWY
City: Morrow
State: Georgia
ZIP Code: 30260-3312
Phone: (404) 785-8660

Authorized Official

Name: LOUETTA CODY
Title: MANAGER, PROVIDER ENROLLMENT
Phone: (404) 785-7876

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Urgent Care — Urgent Care	261QU0200X	Primary

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