Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Clinica Agave Clinic

Organization Family Nurse Practitioner · NPI 1407091705

Clinica Agave Clinic is a Family Nurse Practitioner in Forest Park, Georgia. Registered with an NPI since 2008.

In the registry since
2008

Practice location Address checks out

4434 Jonesboro Rd
Forest Park, GA 30297-4313
Phone: (404) 447-3444
Fax: (404) 377-3445
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X

Record details

NPI number1407091705
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Judith Chabot — Provider · (404) 447-3444
NPI enumeratedDecember 16, 2008
Last updated in NPPESDecember 16, 2008
Mailing address4434 Jonesboro Rd, Forest Park, GA 30297-4313

Other providers in Forest Park