institution
Lavista Family Medicine
Primary Care Clinic/Center in Atlanta, Georgia
NPI 1538333497

Lavista Family Medicine is a Primary Care Clinic/Center based in Tucker, GA and is specialized in Primary Care. Lavista Family Medicine practices in Atlanta, GA. The NPI Number for Lavista Family Medicine is 1538333497 and holds a License No. 039353 (Georgia).

The current practice location address for Lavista Family Medicine is 2910 N Druid Hills Rd Ne, Atlanta, GA and can be reached out via phone at 404-320-6050 and via fax at 404-320-6080. You can also correspond with Lavista Family Medicine through the mailing address at 2012 HAROBI DR, TUCKER, GA - 30084-5161 (mailing address contact number: 404-320-6050).

Location: 2910 N Druid Hills Rd Ne, Atlanta, GA, 30084-5161
institution
Provider Profile Details
NPI Number
1538333497
Provider Name
Lavista Family Medicine
Credential
Provider Entity Type
Organization
Address
2910 N Druid Hills Rd Ne, Atlanta, GA, 30084-5161
Phone Number
404-320-6050
Fax Number
404-320-6080
Provider Enumeration Date
04/22/2008
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000662219E 05 GA
institution
Provider Business Practice Location Address Details
Address
2910 N Druid Hills Rd Ne
City
State
Zip
30329-3919
Phone Number
404-320-6050
Fax Number
404-320-6080
person
Provider Business Mailing Address Details
Address
2910 N Druid Hills Rd Ne
City
State
Zip
30329-3919
Phone Number
404-320-6050
Fax Number
404-320-6080
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
039353 (Georgia)
Definition
Definition to come...
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