| Clinica Medica Doctor Vizcarra | |
|
6825 Jimmy Carter Blvd Suite 1590 Norcross GA 30071-1228 | |
| (678) 615-2565 | |
| Not Available |
| Full Name | Clinica Medica Doctor Vizcarra |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 6825 Jimmy Carter Blvd, Norcross, Georgia |
| Authorized Official Name and Position | Luis Rafael Vizcarra-falla (MEDICAL DIRECTOR) |
| Authorized Official Contact | 6786152565 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Medica Doctor Vizcarra 6825 Jimmy Carter Blvd Suite 1590 Norcross GA 30071-1228 Ph: (678) 615-2565 | Clinica Medica Doctor Vizcarra 6825 Jimmy Carter Blvd Suite 1590 Norcross GA 30071-1228 Ph: (678) 615-2565 |
| NPI Number | 1629405964 |
|---|---|
| Provider Enumeration Date | 10/01/2013 |
| Last Update Date | 10/01/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629405964 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 68630 (Georgia) | Primary |
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