Organization
CLINICA DE LA SALUD SMYRNA, INC
Active
Other names
Clinica de la salud Smyrna
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HENRY VELEZ JR. MD (MEDICAL DIRECTOR)
(404) 406-7861
Entity
Organization
Contact information
Practice address
1815 S COBB DR SE STE 101, MARIETTA, GA 30060-4958
(678) 888-0173
(678) 888-0177
Mailing address
1815 S COBB DR SE STE 101, MARIETTA, GA 30060-4958
(678) 888-0173
(678) 888-0177
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437461050
NO INSURANCE
GA
01
—
1710082458
NO INSURANCE
GA
01
—
1932467768
NO INSURANCE
GA
Enumeration date
01/19/2019
Last updated
01/19/2019
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