CLINICA AGAVE CLINIC is a family nurse practitioner in Forest Park, GA. CLINICA AGAVE CLINIC NPI is 1407091705. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
4434 JONESBORO RD
FOREST PARK, GA
ZIP 30297-313
Phone: (404) 447-3444
Fax: (404) 377-3445
The provider's authorized official is Judith T Chabot .
The authorized official title is Provider and has the following contact phone number (404) 447-3444.
The enumeration date for this NPI number is 12/16/2008 and was last updated on 12/16/2008.