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Organization
CLINICA VITAL, LLC
Active
Organization
CLINICA VITAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA SALCIDO (CEO)
(770) 797-5167
Entity
Organization
Contact information
Practice address
3661 CLAIRMONT RD, CHAMBLEE, GA 30341-4907
(770) 797-5167
(404) 891-6343
Mailing address
3661 CLAIRMONT RD, CHAMBLEE, GA 30341-4907
(770) 797-5167
(404) 891-6343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
05/12/2023
Last updated
05/12/2023
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