Organization
AAA WATERFORD MEDICAL CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN SALINAS M.D. (PRESIDENT / CEO)
(404) 992-9130
Entity
Organization
Contact information
Practice address
3069 AMWILER RD, SUITE 2, ATLANTA, GA 30360-2825
(678) 969-9920
(678) 969-9919
Mailing address
3069 AMWILER RD, SUITE 2, ATLANTA, GA 30360-2825
(678) 969-9920
(678) 969-9919
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
07035065
GA
Other
Enumeration date
12/21/2011
Last updated
12/21/2011
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