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Organization

WATERFORD MEDICAL CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. JOHN SALINAS (MEDICAL DIRECTOR)
(404) 992-9130
Entity
Organization

Contact information

Practice address
3069 AMWILER RD, SUITE TWO, 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
208D00000X
General Practice Physician
Primary
038600
GA

Other

Enumeration date
12/30/2011
Last updated
12/30/2011
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