Individual
DR. MARIA CLARISSA LORETE VISITACION
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
323 RESOURCE PKWY, WINDER, GA 30680-8364
(678) 975-7471
(678) 975-7055
Mailing address
317 RESOURCE PKWY, SUITE 4B, WINDER, GA 30680-8364
(678) 975-7471
(678) 975-7055
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
65434
GA
390200000X
Student in an Organized Health Care Education/Training Program
57.013820
OH
Other
Enumeration date
10/27/2007
Last updated
03/03/2026
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