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Guadalupe Llc
Multi-Specialty Clinic/Center in Smyrna, Georgia
NPI 1093413585

Guadalupe Llc is a Multi-Specialty Clinic/Center based in Smyrna, GA and is specialized in Multi-Specialty. Guadalupe Llc practices in Smyrna, GA. The NPI Number for Guadalupe Llc is 1093413585 and holds a License No. (Georgia).

The current practice location address for Guadalupe Llc is 696 Windy Hill Rd Se, Smyrna, GA and can be reached out via phone at 404-492-2093.

Location: 696 Windy Hill Rd Se, Smyrna, GA, 30080-1857
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1093413585
Provider Name
Guadalupe Llc
Credential
Provider Entity Type
Organization
Address
696 Windy Hill Rd Se, Smyrna, GA, 30080-1857
Phone Number
404-492-2093
Fax Number
Provider Enumeration Date
02/23/2023
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1144226135 01 GA PRIVATE PRACTICE
1780076182 01 GA PRIVATE PRACTICE
institution
Provider Business Practice Location Address Details
Address
696 Windy Hill Rd Se
City
Smyrna
State
Georgia
Zip
30080-1857
Phone Number
404-492-2093
Fax Number
person
Provider Business Mailing Address Details
Address
696 Windy Hill Rd Se
City
Smyrna
State
Georgia
Zip
30080-1857
Phone Number
404-492-2093
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Independent Medical Examiner
Speciality
-
Taxonomy
202C00000X
License No.
()
Definition
A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues.
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Multi-Specialty
Taxonomy
261QM1300X
License No.
()
Definition
Definition to come...
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