Idlewood Medical Clinic INC
NPI #1316249246 in Tucker, Georgia
Provider Information
- NPI Number
- 1316249246
- Entity Type
- Organization
- Organization Name
- Idlewood Medical Clinic INC
- Primary Specialty
- Family Medicine - Adult Medicine
- Enumeration Date
- Nov 29, 2010
- Last Updated
- Dec 17, 2010
Practice Location
Authorized Official
- Name
- AIDA ROSA DE LA VEGA
- Title
- CEO
- Phone
- (305) 388-4383
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine - Adult Medicine — Adult Medicine |
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