CLINICA AGAVE CLINIC

Nurse Practitioner - Family

Active Organization
NPI: 1407091705

Practice Address

4434 JONESBORO RD
Forest Park, GA 30297

Phone: (404) 447-3444

Specialties

Specialty Code Primary License
Nurse Practitioner - Family 363LF0000X Yes -

Frequently Asked Questions

NPI 1407091705 is the National Provider Identifier for CLINICA AGAVE CLINIC, a Nurse Practitioner - Family provider located in Forest Park, GA. This NPI was enumerated on December 16, 2008.

Quick Facts

NPI
1407091705
Type
Organization
Enumerated
Dec 16, 2008
Last Updated
Dec 16, 2008

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