Organization
CLINICA FAMILIAR Y PRENATAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRIDGETTE HANNIGAN RCS (ADMINISTRATOR)
(678) 755-5334
Entity
Organization
Contact information
Practice address
155 MEDICAL WAY STE B, RIVERDALE, GA 30274-4940
(678) 755-5334
(404) 529-4430
Mailing address
155 MEDICAL WAY STE B, RIVERDALE, GA 30274-4940
(678) 755-5334
(404) 529-4430
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
RN120872
GA
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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