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Organization
CLINICA MEDICA DR RENE DELGADO, INC
Active
Organization
CLINICA MEDICA DR RENE DELGADO, INC
Active
Other names
CLINICA MEDICA FAMILIAR
Organization subpart
No
Provider details
NPI number
Authorized official
JACK DOURRON (PRACTICE MANAGER)
(770) 996-9681
Entity
Organization
Contact information
Practice address
189 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-4905
(770) 996-9681
(770) 996-9683
Mailing address
189 MEDICAL WAY, SUITE B, RIVERDALE, GA 30274-4905
(770) 996-9681
(770) 996-9683
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
027722
GA
207V00000X
Obstetrics & Gynecology Physician
Primary
014308
GA
Other
Enumeration date
02/22/2009
Last updated
02/22/2009
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