Organization · Type 2 NPI
Waterford Medical Clinic
General Practice Physician · Atlanta, GA
NPI number
1366712846
Active
Practice location
3069 Amwiler Rd, Suite Two
Atlanta, GA 30360-2825
Fax (678) 969-9919
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Physician Primary | 208D00000X | 038600 (GA) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
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About NPI 1366712846
Waterford Medical Clinic's National Provider Identifier is 1366712846, issued on Dec 30, 2011. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Atlanta, GA. The record was last updated on Dec 30, 2011.