North Atlanta Medical Clinic, L.l.c

NPI #1700108784 in Lawrenceville, Georgia

Provider Information

NPI Number
1700108784
Entity Type
Organization
Organization Name
North Atlanta Medical Clinic, L.l.c
Primary Specialty
Internal Medicine
Enumeration Date
Feb 18, 2010
Last Updated
Feb 18, 2010

Practice Location

Address
3664 CLUB DRIVE,
Address 2
SUITE 201
State
Georgia
ZIP Code
30044
Phone
(678) 380-8433

Authorized Official

Name
MRS. VICTORINE MAFOUEKA NGUENA, M.D
Title
PHYSICIAN
Phone
(770) 314-9245

Specialties & Taxonomy Codes

Specialty
Internal Medicine

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