Organization
BUENA VISTA FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STEPHEN NOBLE (CEO)
(229) 649-2064
Entity
Organization
Contact information
Practice address
345 GENEVA RD, BUENA VISTA, GA 31803-1701
(229) 649-2071
Mailing address
345 GENEVA RD, BUENA VISTA, GA 31803-1701
(229) 649-2071
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
GA
Other
Enumeration date
05/31/2006
Last updated
08/22/2020
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