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Organization
VINA HEALTH CARE CLINIC CORPORATION
Active
Organization
VINA HEALTH CARE CLINIC CORPORATION
Active
Other names
VINA HEALTH CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LY DAM (OFFICE MANAGER)
(404) 366-8822
Entity
Organization
Contact information
Practice address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Mailing address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
040894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000766884A
—
GA
Enumeration date
01/21/2006
Last updated
12/08/2011
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