| Waterford Medical Clinic | |
|
3069 Amwiler Rd Suite Two Atlanta GA 30360-2825 | |
| (678) 969-9920 | |
| (678) 969-9919 |
| Full Name | Waterford Medical Clinic |
|---|---|
| Speciality | General Practice |
| Location | 3069 Amwiler Rd, Atlanta, Georgia |
| Authorized Official Name and Position | John Salinas (MEDICAL DIRECTOR) |
| Authorized Official Contact | 4049929130 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Waterford Medical Clinic 3069 Amwiler Rd Suite 2 Atlanta GA 30360-2825 Ph: (678) 969-9920 | Waterford Medical Clinic 3069 Amwiler Rd Suite Two Atlanta GA 30360-2825 Ph: (678) 969-9920 |
| NPI Number | 1366712846 |
|---|---|
| Provider Enumeration Date | 12/30/2011 |
| Last Update Date | 12/30/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366712846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 038600 (Georgia) | Primary |
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