Organization · Type 2 NPI
Vistas Medical Center,pc
Medical Specialty Clinic/Center · Stone Mountain, UM
Practice location
5329 Memorial Dr Ste A
Stone Mountain, UM 30083
Fax (404) 296-7696
Mailing address
PO Box 870828
Stone Mountain, GA 30087-0027
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Specialty Clinic/Center Primary | 261QM2500X | GA038149 (GA) |
Medical Specialty Clinic/Center: An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer).
2 other providers at this address
About NPI 1104064815
Vistas Medical Center,pc's National Provider Identifier is 1104064815, issued on Feb 3, 2009. The primary taxonomy on file is Medical Specialty Clinic/Center (261QM2500X), and the practice location is in Stone Mountain, UM. The record was last updated on Oct 21, 2011.