Organization
THE CLINIC FOR ALL / LA CLINICA DE TODOS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. PATRICIA P FERGUSON (AGENT)
(404) 559-5190
Entity
Organization
Contact information
Practice address
1795 WASHINGTON RD, EAST POINT, GA 30344-4149
(404) 559-5190
(404) 559-5189
Mailing address
2548 LANCASTER DR, EAST POINT, GA 30344-2329
(404) 559-5190
(404) 559-5189
Taxonomy
Speciality
Code
Description
License number
State
261QA0006X
Ambulatory Fertility Facility
25399
GA
261QF0050X
Non-Surgical Family Planning Clinic/Center
25399
GA
261QH0100X
Health Service Clinic/Center
25399
GA
261QP2300X
Primary Care Clinic/Center
Primary
025399
GA
261QP3300X
Pain Clinic/Center
25399
GA
261QU0200X
Urgent Care Clinic/Center
25399
GA
Other
Enumeration date
01/30/2008
Last updated
08/29/2012
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