Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Clarkston Primary & Urgent Care, LLC

Organization Family Medicine Physician · NPI 1043781420

Clarkston Primary & Urgent Care, LLC is a Family Medicine Physician in Clarkston, Georgia. Registered with an NPI since 2018.

In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4600 E Ponce De Leon Ave Ste A
Clarkston, GA 30021-1839
Phone: (770) 703-5408
Fax: (877) 779-5837
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X

Record details

NPI number1043781420
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Etsubdenke Areaya — Authorized Official · (678) 763-2247
Other names Clarkston Primary & Urgent Care Llc; Clarkston Primary & Urgent Care Llc
NPI enumeratedDecember 11, 2018
Last updated in NPPESDecember 11, 2018
Mailing address4600 E Ponce De Leon Ave Ste A, Clarkston, GA 30021-1839

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