Lavista Family Medicine
Lavista Family Medicine is a Primary Care Clinic/Center in Atlanta, Georgia. Licensed in Georgia. Registered with an NPI since 2008.
- Licensed in
- GA
- In the registry since
- 2008
- Specialties on file
- 2
Practice location Address checks out
2910 N Druid Hills Rd NE Ste AAtlanta, GA 30329-3919
Phone: (404) 320-6050
Fax: (404) 320-6080
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Primary Care Clinic/Center (primary) | Taxonomy 261QP2300X · Licence 039353 (GA) |
|---|---|
| Primary Care Clinic/Center | Taxonomy 261QP2300X · Licence 042048 (GA) |
Record details
| NPI number | 1538333497 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Mikhail Gorokhov — Family Practice · (404) 320-6050 |
| NPI enumerated | April 22, 2008 |
| Last updated in NPPES | October 24, 2013 |
| Mailing address | 2012 Harobi Dr, Suite B, Tucker, GA 30084-5161 |
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