Clinica Agave Clinic
Clinica Agave Clinic provides Family Medicine Physician services in Conyers, Georgia. Registered with an NPI since 2006.
- In the registry since
- 2006
Practice location Address checks out
425 Sigman Rd Ste #109Conyers, GA 30012 Not confirmed with CMS for 16 years — call before visiting
Phone: (678) 413-2026
Fax: (678) 413-2030
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Family Medicine Physician (primary) | Taxonomy 207Q00000X |
|---|
Record details
| NPI number | 1851496939 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Judith Chabot — Owner/Administrator · (678) 413-2026 |
| NPI enumerated | September 14, 2006 |
| Last updated in NPPES | March 23, 2010 |
| Mailing address | 425 Sigman Road, Suite #109, Conyers, GA 30012 |
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