Organization
HARBOR LIGHT DIRECT PRIMARY CARE, LLC
Active
Organization
HARBOR LIGHT DIRECT PRIMARY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KIEPURA MD (PHYSICIAN AND OWNER)
(678) 404-5521
Entity
Organization
Contact information
Practice address
3508 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
(678) 404-5521
(470) 275-0879
Mailing address
3508 OLD MILTON PKWY, ALPHARETTA, GA 30005-4458
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
04/22/2025
Last updated
04/22/2025
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