Active NPIOrganization

Aaa Waterford Medical Clinic, LLC

Clinic/Center in Atlanta, Georgia

NPI Number1366711202
Practice location
3069 Amwiler RD, Suite 2, Atlanta, GA 30360-2825
Fax
678-969-9919
Last updated
December 21, 2011

Aaa Waterford Medical Clinic, LLC is a healthcare organization based in Atlanta, GA. Aaa Waterford Medical Clinic, LLC practices in Atlanta, GA. The NPI Number for Aaa Waterford Medical Clinic, LLC is 1366711202 and holds a License No. 07035065 (GA). The current practice location address for Aaa Waterford Medical Clinic, LLC is 3069 Amwiler RD, Suite 2, Atlanta, GA 30360-2825 and can be reached out via phone at 678-969-9920 and via fax at 678-969-9919.

Provider Profile Details

NPI Number
1366711202
Provider Name
Aaa Waterford Medical Clinic, LLC
Provider Entity Type
Organization
Address
3069 Amwiler RD, Suite 2, Atlanta, GA 30360-2825
Phone Number
678-969-9920
Fax Number
678-969-9919
Primary Taxonomy
Clinic/Center · 261Q00000X
Organization Subpart
No
Authorized Official
Dr. John Salinas, MD · President / Ceo · 404-992-9130
Provider Enumeration Date
December 21, 2011
Last Update Date
December 21, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
3069 Amwiler RD
Suite 2
Atlanta, GA 30360-2825
State
Georgia
Zip
30360-2825
Phone Number
678-969-9920
Fax Number
678-969-9919
Atlanta, GA 30360Get directions →

Provider Business Mailing Address Details

Address
3069 Amwiler RD
Suite 2
Atlanta, GA 30360-2825
City
Atlanta
State
GA
Zip
30360-2825
Phone Number
678-969-9920
Fax Number
678-969-9919

License Information

License Number
07035065
License State
GA
Taxonomy
Clinic/Center · 261Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Aaa Waterford Medical Clinic, LLC?

The NPI number of Aaa Waterford Medical Clinic, LLC is 1366711202. It was assigned on December 21, 2011 and is currently active in the NPPES registry.

What is the specialty of Aaa Waterford Medical Clinic, LLC?

Aaa Waterford Medical Clinic, LLC is registered under the primary taxonomy Clinic/Center (code 261Q00000X), licensed in GA under license number 07035065.

Where does Aaa Waterford Medical Clinic, LLC practice?

The practice location is 3069 Amwiler RD, Suite 2, Atlanta, GA 30360-2825. The office can be reached at 678-969-9920 (phone) or 678-969-9919 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1366711202 directly on the NPPES registry website.

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