institution
La Vista Norcross Clinic
Primary Care Clinic/Center in Norcross, Georgia
NPI 1841571213

La Vista Norcross Clinic is a Primary Care Clinic/Center based in Norcross, GA and is specialized in Primary Care. La Vista Norcross Clinic practices in Norcross, GA. The NPI Number for La Vista Norcross Clinic is 1841571213 and holds a License No. 031536 (Georgia).

The current practice location address for La Vista Norcross Clinic is 2625 Beaver Ruin Rd Ste B, Norcross, GA and can be reached out via phone at 770-446-2820 and via fax at 770-446-2868.

Location: 2625 Beaver Ruin Rd Ste B, Norcross, GA, 30071-4136
institution
Provider Profile Details
NPI Number
1841571213
Provider Name
La Vista Norcross Clinic
Credential
Provider Entity Type
Organization
Address
2625 Beaver Ruin Rd Ste B, Norcross, GA, 30071-4136
Phone Number
770-446-2820
Fax Number
770-446-2868
Provider Enumeration Date
08/30/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
043659295A 05 GA
institution
Provider Business Practice Location Address Details
Address
2625 Beaver Ruin Rd Ste B
City
State
Zip
30071-4136
Phone Number
770-446-2820
Fax Number
770-446-2868
person
Provider Business Mailing Address Details
Address
2625 Beaver Ruin Rd Ste B
City
State
Zip
30071-4136
Phone Number
770-446-2820
Fax Number
770-446-2868
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
License No.
031536 (Georgia)
Definition
Definition to come...
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