| Clinica Union | |
|
861 Holcomb Bridge Rd Ste 200 Roswell GA 30076-1900 | |
| (770) 992-4455 | |
| Not Available |
| Full Name | Clinica Union |
|---|---|
| Speciality | Family Medicine |
| Location | 861 Holcomb Bridge Rd, Roswell, Georgia |
| Authorized Official Name and Position | Mario Rivera (CEO) |
| Authorized Official Contact | 4043214692 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Union 3369 Buford Hwy Ne Suite 810 Brookhaven GA 30329-3722 Ph: (404) 321-4692 | Clinica Union 861 Holcomb Bridge Rd Ste 200 Roswell GA 30076-1900 Ph: (770) 992-4455 |
| NPI Number | 1053787358 |
|---|---|
| Provider Enumeration Date | 08/20/2015 |
| Last Update Date | 08/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053787358 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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