CLINICA AGAVE CLINIC

CONYERS, GA
NPI1851496939
Entity TypeOrganization
Authorized ContactJUDITH TAKEM CHABOT
Owner/Administrator
678-413-2026
Organization Subpart ?No
Primary Taxonomy207Q00000X Family Medicine
Enumeration Date2006-09-14
Last Update Date2010-03-23
Business Address
CLINICA AGAVE CLINIC
425 SIGMAN ROAD SUITE #109
CONYERS, GA 30012
Phone number: 678-413-2026
Mailing Address
CLINICA AGAVE CLINIC
425 SIGMAN ROAD SUITE #109
CONYERS, GA 30012
Phone number: 678-413-2026
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