Consultorio Medico Hispano

NPI #1497205991 in Chamblee, Georgia

Provider Information

NPI Number
1497205991
Entity Type
Organization
Organization Name
Consultorio Medico Hispano
Primary Specialty
Clinic/Center - Community Health
Enumeration Date
Oct 7, 2016
Last Updated
Oct 7, 2016

Practice Location

Address
3182 SHALLOWFORD RD NE
State
Georgia
ZIP Code
30341-3640
Phone
(678) 557-8292

Authorized Official

Name
ANTONIO MOLINA
Title
BUSINESS MANAGER
Phone
(678) 557-8292

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Community HealthCommunity Health

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