Idlewood Medical Clinic Inc
Idlewood Medical Clinic Inc is an Adult Medicine Physician in Tucker, Georgia. Registered with an NPI since 2010.
- In the registry since
- 2010
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
2157 Idlewood Rd Ste BTucker, GA 30084-4832
Phone: (305) 388-4383
Fax: (305) 388-4380
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Adult Medicine Physician (primary) | Taxonomy 207QA0505X |
|---|
Record details
| NPI number | 1316249246 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Aida De La Vega — Ceo · (305) 388-4383 |
| NPI enumerated | November 29, 2010 |
| Last updated in NPPES | December 17, 2010 |
| Mailing address | 2157 Idlewood Rd, Ste B, Tucker, GA 30084-4832 |
Other providers in Tucker
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Leodez
4292 Chamblee Tucker Rd, Tucker, GA 30084-2103 · (770) 718-1517