Clinica Agave Clinic

LBN: Clinica Agave Clinic
Clinica Agave Clinic is an health care organization with primary practice located at 425 Sigman Road Suite #109, Conyers GA 30012. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as the primary health care specialty. Clinica Agave Clinic can be contacted via phone (678) 413-2026, or through Chabot, Judith Takem via phone (678) 413-2026.

Contact Information

Primary practice address
425 Sigman Road Suite #109 Conyers GA 30012
Phone: (678) 413-2026
Fax: (678) 413-2030
Website:
Map and Directions
Authorized official contact:
Name: Chabot, Judith Takem FNP-C
Phone: (678) 413-2026

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X

Profile Details

NPI number 1851496939
LBN Legal business name Clinica Agave Clinic
DBA Doing business as
Authorized official Chabot, Judith Takem FNP-C
Entity Organization
Organization subpart 1 No
Enumeration date Sep 14th, 2006
Last updated Mar 23rd, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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