Imc Primera LLC

NPI #1609119882 in Hapeville, Georgia

Provider Information

NPI Number: 1609119882
Entity Type: Organization
Organization Name: Imc Primera LLC
Primary Specialty: Clinic/Center - Urgent Care
Enumeration Date: Apr 5, 2013
Last Updated: Apr 5, 2013

Practice Location

Address: 800 VIRGINIA AVE
Address 2: SUITE 200
City: Hapeville
State: Georgia
ZIP Code: 30354-4302
Phone: (888) 311-2976

Authorized Official

Name: SHAILESH KOTHARI, DC
Title: OWNER
Phone: (888) 311-2976

Specialties & Taxonomy Codes

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

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