Clinica Medica Familiar, LLP

NPI #1619101813 in Riverdale, Georgia

Provider Information

NPI Number: 1619101813
Entity Type: Organization
Organization Name: Clinica Medica Familiar, LLP
Primary Specialty: Obstetrics & Gynecology
Enumeration Date: May 4, 2009
Last Updated: May 4, 2009

Practice Location

Address: 189 MEDICAL WAY
Address 2: SUITE B
City: Riverdale
State: Georgia
ZIP Code: 30274-4905
Phone: (770) 996-9681

Authorized Official

Name: MR. JACK PATRICK DOURRON
Title: OFFICE MANAGER
Phone: (770) 996-9681

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Obstetrics & Gynecology	207V00000X	Primary

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