| Clinica Familiar Y Prenatal | |
|
155 Medical Way Ste B Riverdale GA 30274-4940 | |
| (678) 755-5334 | |
| (404) 529-4430 |
| Full Name | Clinica Familiar Y Prenatal |
|---|---|
| Speciality | Family Medicine |
| Location | 155 Medical Way Ste B, Riverdale, Georgia |
| Authorized Official Name and Position | Bridgette Hannigan (ADMINISTRATOR) |
| Authorized Official Contact | 6787555334 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Familiar Y Prenatal 155 Medical Way Ste B Riverdale GA 30274-4940 Ph: (678) 755-5334 | Clinica Familiar Y Prenatal 155 Medical Way Ste B Riverdale GA 30274-4940 Ph: (678) 755-5334 |
| NPI Number | 1336651702 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336651702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | RN120872 (Georgia) | Primary |
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