1104064815 VISTAS MEDICAL CENTER,PC

Medical Specialty Clinic/Center

Active

Basic Information

Organization Name
VISTAS MEDICAL CENTER,PC
Enumeration Date
February 3, 2009
Last Update
October 21, 2011
Authorized Official
NICHOLAS KEMDI IHENACHO MD
MD/CEO
Phone: (404) 296-7695

Practice Location

Address
5329 MEMORIAL DR STE A
STONE MOUNTAIN, 30083
Phone
(404) 296-7695
Fax
(404) 296-7696

Mailing Address

Address
PO BOX 870828
STONE MOUNTAIN, GA 300870027
Phone
(404) 296-7695
Fax
(404) 296-7696

Specialties & Taxonomies

Specialty Code Classification License State Primary
Medical Specialty Clinic/Center
Medical Specialty
261QM2500X Clinic/Center GA038149 GA Primary

Other Identifiers

Identifier Type State Issuer
000727108D 05 GA N/A
321313 01 GA WELLCARE

Frequently Asked Questions

What is VISTAS MEDICAL CENTER,PC's NPI number?
VISTAS MEDICAL CENTER,PC's NPI number is 1104064815.
Which doctor has NPI number 1104064815?
The doctor with NPI number 1104064815 is VISTAS MEDICAL CENTER,PC.
What is VISTAS MEDICAL CENTER,PC's practice address?
VISTAS MEDICAL CENTER,PC's practice address is 5329 MEMORIAL DR STE A, STONE MOUNTAIN, 30083.
Which doctor practices at 5329 MEMORIAL DR STE A, STONE MOUNTAIN, 30083?
VISTAS MEDICAL CENTER,PC practices at 5329 MEMORIAL DR STE A, STONE MOUNTAIN, 30083.
What is VISTAS MEDICAL CENTER,PC's mailing address?
VISTAS MEDICAL CENTER,PC's mailing address is PO BOX 870828, STONE MOUNTAIN, GA, 300870027.
What is VISTAS MEDICAL CENTER,PC's phone number?
VISTAS MEDICAL CENTER,PC's phone number is (404) 296-7695.
Who is (404) 296-7695?
(404) 296-7695 is the phone number for VISTAS MEDICAL CENTER,PC.
What is VISTAS MEDICAL CENTER,PC's specialty?
VISTAS MEDICAL CENTER,PC's specialty is Medical Specialty Clinic/Center.
What type of doctor is VISTAS MEDICAL CENTER,PC?
VISTAS MEDICAL CENTER,PC is a Medical Specialty Clinic/Center.
Is VISTAS MEDICAL CENTER,PC a Medical Specialty?
Yes, VISTAS MEDICAL CENTER,PC is a Medical Specialty.
Is VISTAS MEDICAL CENTER,PC still practicing?
Yes, VISTAS MEDICAL CENTER,PC is currently practicing.
Is VISTAS MEDICAL CENTER,PC accepting new patients?
VISTAS MEDICAL CENTER,PC may be accepting new patients. Please call their office at (404) 296-7695 to inquire about availability.
Is NPI 1104064815 still active?
Yes, NPI 1104064815 is currently active.