Provider Demographics
NPI:1578382578
Name:MEDCENTER 24/7 LLC
Entity type:Organization
Organization Name:MEDCENTER 24/7 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:LEDBETTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-322-2065
Mailing Address - Street 1:416 E NORTH ST STE 2
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-3293
Mailing Address - Country:US
Mailing Address - Phone:888-322-2065
Mailing Address - Fax:888-322-2085
Practice Address - Street 1:2775 CRUSE RD STE 2101
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30044-7147
Practice Address - Country:US
Practice Address - Phone:888-322-2065
Practice Address - Fax:888-322-2085
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Single Specialty