Organization · Type 2 NPI
Legacy Primary Care and Wellness
Primary Care Clinic/Center · Riverdale, GA
NPI number
1508461070
Active
Practice location
195 Upper Riverdale Rd SW Ste B
Riverdale, GA 30274-2518
Fax (770) 629-2392
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Riverdale
About NPI 1508461070
Legacy Primary Care and Wellness's National Provider Identifier is 1508461070, issued on Dec 2, 2020. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Riverdale, GA. The record was last updated on Aug 12, 2021.