# BUCKHEAD CLINIC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073811246
- **Authorized official:** DR. JOHN Y SALINAS MD (MBR)
- **Authorized official phone:** (404) 992-9130

## Contact information

- **Practice address:** 3115 PIEDMONT ROAD NE, ATLANTA, GA 30305
- **Practice address phone:** (770) 643-2010
- **Practice address fax:** (770) 643-2011
- **Mailing address:** 3115 PIEDMONT ROAD NE, ATLANTA, GA 30305
- **Mailing address phone:** (770) 643-2010
- **Mailing address fax:** (770) 643-2011

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | 38600 | GA | Yes |

## Other

- **Enumeration date:** 03/11/2011
- **Last updated:** 03/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1205002946 | INDIV NPI - JOHN Y SALINAS | GA |