| Clinica Union, Inc | |
|
134 S Clayton St Suite 27 Lawrenceville GA 30046-5743 | |
| (404) 321-4692 | |
| Not Available |
| Full Name | Clinica Union, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 134 S Clayton St, Lawrenceville, Georgia |
| Authorized Official Name and Position | Mario Rivera (CEO) |
| Authorized Official Contact | 4043214692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Union, Inc 3369 Buford Hwy Ne Suite 810 Brookhaven GA 30329-3722 Ph: (404) 321-4692 | Clinica Union, Inc 134 S Clayton St Suite 27 Lawrenceville GA 30046-5743 Ph: (404) 321-4692 |
| NPI Number | 1588030183 |
|---|---|
| Provider Enumeration Date | 08/18/2015 |
| Last Update Date | 08/18/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588030183 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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