person
Mr. Luis Enrique Roman, MDSTUDENT
Student Health Clinic/Center in Dunwoody, Georgia
NPI 1922613199

Luis Enrique Roman is a Student Health Clinic/Center based in Dunwoody, GA and is specialized in Student Health. Luis Enrique Roman practices in Dunwoody, GA and has the professional credentials of MDSTUDENT. The NPI Number for Luis Enrique Roman is 1922613199 and holds a License No. (Georgia).

The current practice location address for Luis Enrique Roman is 4500 N Shallowford Rd, Dunwoody, GA and can be reached out via phone at 404-778-6920 and via fax at 404-778-6811.

Location: 4500 N Shallowford Rd, Dunwoody, GA, 30338-6476
person
Provider Profile Details
NPI Number
1922613199
Provider Name
Luis Enrique Roman
Credential
MDSTUDENT
Provider Entity Type
Individual
Gender
Male
Address
4500 N Shallowford Rd, Dunwoody, GA, 30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
Provider Enumeration Date
09/14/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4500 N Shallowford Rd
City
State
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
person
Provider Business Mailing Address Details
Address
4500 N Shallowford Rd
City
State
Zip
30338-6476
Phone Number
404-778-6920
Fax Number
404-778-6811
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Student Health
Taxonomy
License No.
()
Definition
Definition to come...
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