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WATERFORD MEDICAL CLINIC
NPI 1366712846
General Practice in Atlanta, GA

Active since December 30, 2011
3069 AMWILER RD, SUITE TWO, ATLANTA, GA 30360(678) 969-9920(678) 969-9919 Get Directions Write a Review

NPPES record last updated: December 30, 2011. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Waterford Medical Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WATERFORD MEDICAL CLINIC (NPI 1366712846) is a healthcare organization registered as a general practice in Atlanta, Georgia and active in the NPI registry since December 2011. The organization lists John Salinas, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366712846
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameWATERFORD MEDICAL CLINIC
Location Address3069 AMWILER RD, SUITE TWOAtlanta, GA 30360-2825
Mailing Address3069 Amwiler Rd, Suite 2Atlanta, GA 30360-2825 · (678) 969-9920 · Fax (678) 969-9919
Phone(678) 969-9920
Fax(678) 969-9919
Organization SubpartNo
Authorized OfficialJohn SalinasMedical Director · (404) 992-9130
Enumeration DateDecember 30, 2011
✔ NPI 1366712846 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in GA · 038600
Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

3069 AMWILER RD, Atlanta, GA 30360
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AAA WATERFORD MEDICAL CLINIC, LLC
Clinic/Center
3069 AMWILER RD, SUITE 2
ATLANTA, GA 30360
Dekalb County (678) 969-9920

Frequently Asked Questions

What is WATERFORD MEDICAL CLINIC's NPI number?

The NPI number assigned to this healthcare provider is 1366712846, enumerated as an "organization" on December 30, 2011.

Where is the provider located?

The provider is located at 3069 AMWILER RD SUITE TWO ATLANTA, GA 30360 and the phone number is (678) 969-9920.

What is the provider's specialty?

General Practice with taxonomy code 208D00000X.