VISTAS MEDICAL CENTER,PC
Ambulatory Health in Stone Mountain, GA

License number
Georgia GA038149
Category
Ambulatory Health
Type
Medical Specialty
Owner
Name: NICHOLAS KEMDI IHENACHO MD
Title: MD/CEO
Phone: (404) 296-7695
Address
Address
PO Box 870828, Stone Mountain, GA 30087
National Provider ID: 1104064815
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

See more information about VISTAS MEDICAL CENTER,PC at bizstanding.com

VISTAS MEDICAL CENTER, PC

Stone Mountain, GA  -  Clarkston, GA

Industry:
Medical Doctor's Office
Registration:
Nov 17, 2003
Addresses:
PO Box 870828, Stone Mountain, GA 30087 (Physical)
751 N Indian Crk Dr, Clarkston, GA 30021
State ID:
0363711
Business type:
Domestic Professional Corporation
Medical Assistants:
Bridget Ihenacho, (Secretary), PO Box 870828, Stone Mountain, GA 30087 (Physical),K. Nicholas Ihenacho (CFO), PO Box 870828, Stone Mountain, GA 30087 (Physical),Latoya S. Daniel (Medical Assistant),...
Agent:
Nicholas Ihenacho,5329 Memorial Dr, Stone Mountain, GA (Physical)

Ambulatory Health licenses in Georgia










Other Doctors licenses in Georgia