LA VISTA NORCROSS CLINIC is a primary care clinic center in Norcross, GA. LA VISTA NORCROSS CLINIC NPI is 1841571213. The provider is registered as an organization entity type.
The provider's business location address is:
2625 BEAVER RUIN RD STE B
NORCROSS, GA
ZIP 30071-136
Phone: (770) 446-2820
Fax: (770) 446-2868
The provider's authorized official is Juana M Sanchez .
The authorized official title is Medical Director and has the following contact phone number (770) 446-2820.
The CLIA number assigned to this NPI record is 11D0995874 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 8/30/2011 and was last updated on 8/30/2011.