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Organization
VISTA MEDICAL CLINIC
Active
Organization
VISTA MEDICAL CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AFROZ RAHMAN (M.D)
(770) 935-1515
Entity
Organization
Contact information
Practice address
325 LESTER RD NW STE C, LAWRENCEVILLE, GA 30044-4046
(770) 935-1515
Mailing address
325 LESTER RD NW STE C, LAWRENCEVILLE, GA 30044-4046
Taxonomy
Speciality
Code
Description
License number
State
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
Other
Enumeration date
09/19/2013
Last updated
02/05/2021
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