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Organization
CLARKSTON PRIMARY & URGENT CARE, LLC
Active
Organization
CLARKSTON PRIMARY & URGENT CARE, LLC
Active
Other names
CLARKSTON PRIMARY & URGENT CARE LLC, CLARKSTON PRIMARY & URGENT CARE LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ETSUBDENKE AREAYA FNP-C (AUTHORIZED OFFICIAL)
(678) 763-2247
Entity
Organization
Contact information
Practice address
4600 E PONCE DE LEON AVE STE A, CLARKSTON, GA 30021-1839
(770) 703-5408
(877) 779-5837
Mailing address
4600 E PONCE DE LEON AVE STE A, CLARKSTON, GA 30021-1839
(770) 703-5408
(877) 779-5837
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
12/11/2018
Last updated
12/11/2018
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