| Vivasalud Clinic 1 Llc | |
|
2336 Wisteria Dr Ste 110 Snellville GA 30078-6162 | |
| (470) 342-8500 | |
| Not Available |
| Full Name | Vivasalud Clinic 1 Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 2336 Wisteria Dr Ste 110, Snellville, Georgia |
| Authorized Official Name and Position | Vanessa Jimenez (CHIEF CLINICAL OPERATIONS OFFICER) |
| Authorized Official Contact | 4706075533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Vivasalud Clinic 1 Llc 2336 Wisteria Dr Ste 110 Snellville GA 30078-6162 Ph: (470) 481-7803 | Vivasalud Clinic 1 Llc 2336 Wisteria Dr Ste 110 Snellville GA 30078-6162 Ph: (470) 342-8500 |
| NPI Number | 1386361756 |
|---|---|
| Provider Enumeration Date | 10/25/2022 |
| Last Update Date | 02/15/2026 |
| Medicare PECOS PAC ID | 4688043417 |
|---|---|
| Medicare Enrollment ID | O20221216001811 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386361756 | NPI | - | NPPES |
| 003284553A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Vanessa Jimenez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760084206 PECOS PAC ID: 7214328269 Enrollment ID: I20211229001896 |
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