Individual
JAIME ENRIQUE VENGOECHEA BARRIOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1365 CLIFTON RD NE # A1500, ATLANTA, GA 30322-5307
(404) 778-8570
(404) 778-8562
Mailing address
1365 CLIFTON RD NE STE A1500, ATLANTA, GA 30322-1013
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
57.012772
OH
207SG0201X
Clinical Genetics (M.D.) Physician
57.012772
OH
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
74420
GA
207SG0201X
Clinical Genetics (M.D.) Physician
E-7386
AR
Other
Enumeration date
11/04/2007
Last updated
02/02/2021
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