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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