NPI 1235505835

Clinica Union, INC

Organisation Family Medicine Physician Smyrna, GA

Practice location

Address: 696 Windy Hill Rd SE, Smyrna, GA 30080-1857
Phone: (404) 321-4692
Mailing address: 3369 Buford Hwy NE Suite 810, Brookhaven, GA 30329-3722

Authorised official

Name: Mario Rivera
Title: Ceo
Phone: (404) 321-4692

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X

Other Family Medicine providers in Georgia →

Registry record

NPI: 1235505835
Entity type: Organization
NPI issued: 18 Aug 2015
Record last updated: 18 Aug 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.