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Organization

SERVICIO MEDICO HISPANO

Active
Other names
CONSULTORIO MEDICO HISPANO
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ADOLFO FELIX MOLINA M.D. (MEDICAL DIRECTOR)
(770) 457-5758
Entity
Organization

Contact information

Practice address
3182 SHALLOWFORD RD NE, CHAMBLEE, GA 30341-3640
(770) 457-5758
(770) 457-5750
Mailing address
3182 SHALLOWFORD RD NE, CHAMBLEE, GA 30341-3640
(770) 457-5758
(770) 457-5750

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
024166
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000973552A
GA
Enumeration date
05/04/2007
Last updated
08/08/2023
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