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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