| Consultorio Medico Hispano | |
|
3182 Shallowford Rd Ne Chamblee GA 30341-3640 | |
| (678) 557-8292 | |
| Not Available |
| Full Name | Consultorio Medico Hispano |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 3182 Shallowford Rd Ne, Chamblee, Georgia |
| Authorized Official Name and Position | Antonio Molina (BUSINESS MANAGER) |
| Authorized Official Contact | 6785578292 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Consultorio Medico Hispano 3182 Shallowford Rd Ne Chamblee GA 30341-3640 Ph: () - | Consultorio Medico Hispano 3182 Shallowford Rd Ne Chamblee GA 30341-3640 Ph: (678) 557-8292 |
| NPI Number | 1497205991 |
|---|---|
| Provider Enumeration Date | 10/07/2016 |
| Last Update Date | 10/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497205991 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | RN220493 (Georgia) | Primary |
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