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Vivasalud Clinic 1 Llc
Family Nurse Practitioner in Snellville, Georgia
NPI 1386361756

Vivasalud Clinic 1 Llc is a Family Nurse Practitioner based in Snellville, GA and is specialized in Family. Vivasalud Clinic 1 Llc practices in Snellville, GA. The NPI Number for Vivasalud Clinic 1 Llc is 1386361756 and holds a License No. (Georgia).

The current practice location address for Vivasalud Clinic 1 Llc is 2336 Wisteria Dr Ste 110, Snellville, GA and can be reached out via phone at 470-342-8500.

Location: 2336 Wisteria Dr Ste 110, Snellville, GA, 30078-6162
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1386361756
Provider Name
Vivasalud Clinic 1 Llc
Credential
Provider Entity Type
Organization
Address
2336 Wisteria Dr Ste 110, Snellville, GA, 30078-6162
Phone Number
470-342-8500
Fax Number
Provider Enumeration Date
10/25/2022
Last Update Date
03/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
003284553A 05 GA
institution
Provider Business Practice Location Address Details
Address
2336 Wisteria Dr Ste 110
City
Snellville
State
Georgia
Zip
30078-6162
Phone Number
470-342-8500
Fax Number
person
Provider Business Mailing Address Details
Address
2336 Wisteria Dr Ste 110
City
Snellville
State
Georgia
Zip
30078-6162
Phone Number
470-342-8500
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
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Definition
Definition to come...
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