Organization
VINA HEALTH CARE CLINIC CORPORATION
Active
Other names
VINA HEALTH CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LY DAM (OFFICE MANAGER)
(404) 366-8822
Entity
Organization
Contact information
Practice address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Mailing address
4487 JONESBORO RD, FOREST PARK, GA 30297-4316
(404) 366-8822
(404) 366-8824
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
040894
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000766884A
—
GA
Enumeration date
01/21/2006
Last updated
12/08/2011
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