Organization
NORTH ATLANTA MEDICAL CLINIC, L.L.C
Active
Organization
NORTH ATLANTA MEDICAL CLINIC, L.L.C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VICTORINE MAFOUEKA NGUENA M.D (PHYSICIAN)
(770) 314-9245
Entity
Organization
Contact information
Practice address
3664 CLUB DRIVE,, SUITE 201, LAWRENCEVILLE, GA 30044
(678) 380-8433
(678) 380-8437
Mailing address
2012 LITTLE RIVER DRIVE, SUWANEE, GA 30024
(678) 380-8433
(678) 380-8437
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
063092
GA
Other
Enumeration date
02/18/2010
Last updated
02/18/2010
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