| La Clinica, Llc | |
|
10479 Alpharetta St Ste 18 Roswell GA 30075-3764 | |
| (678) 869-5000 | |
| (678) 869-5014 |
| Full Name | La Clinica, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 10479 Alpharetta St Ste 18, Roswell, Georgia |
| Authorized Official Name and Position | Patricia E Hernandez (NURSE PRACTITIONER) |
| Authorized Official Contact | 6788695000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| La Clinica, Llc 10479 Alpharetta St Ste 18 Roswell GA 30075-3764 Ph: (678) 869-5000 | La Clinica, Llc 10479 Alpharetta St Ste 18 Roswell GA 30075-3764 Ph: (678) 869-5000 |
| NPI Number | 1629623343 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/08/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629623343 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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