Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CLINICA AGAVE CLINIC
Active OrganizationCLINICA AGAVE CLINIC is a Family Nurse Practitioner organization located in FOREST PARK, Georgia. NPI 1407091705 is currently active in the NPPES registry. Verify at CMS.
Family Nurse Practitioner · FOREST PARK, GA
Registration Details
- NPI Number
- 1407091705
- Provider Type
- Organization
- NPI Issued
- Dec 16, 2008 (17.479353686829 yrs)
- Last Updated
- Dec 16, 2008
Practice Information
- Address
-
4434 JONESBORO RDFOREST PARK, GA, 302974313Browse GA providers · Browse ZIP 30297
- Phone
- 4044473444
- Fax
- 4043773445
- Primary Specialty
-
Family Nurse Practitioner
363LF0000X
Other Family Nurse Practitioner Organizations in FOREST PARK, GA
| Name | NPI |
|---|---|
| INTEGRATED HEALTH AND WELLNESS SOLUTIONS | 1811679269 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.