Organization
PONCE PREVENTIVE CARE LLC
Active
Other names
Ponce Preventive Care LLC
Organization subpart
No
Provider details
NPI number
Authorized official
ROSA FIGUEROA (PRACTICE ADMINISTRATOR)
(404) 537-2521
Entity
Organization
Contact information
Practice address
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030-2441
(404) 537-2521
(844) 246-7292
Mailing address
315 W PONCE DE LEON AVE STE 110, DECATUR, GA 30030-2441
(404) 537-2521
(844) 246-7292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
054263
GA
Other
Enumeration date
07/06/2010
Last updated
05/06/2024
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