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VINA HEALTH CARE CLINIC CORPORATION
NPI 1487634648
General Practice in Forest Park, GA

Active since January 21, 2006
4487 JONESBORO RD, FOREST PARK, GA 30297(404) 366-8822(404) 366-8824 Get Directions Write a Review

NPPES record last updated: December 8, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Vina Health Care Clinic Corporation NPPES

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

VINA HEALTH CARE CLINIC CORPORATION (NPI 1487634648), doing business as Vina Health Care Clinic, is a healthcare organization registered as a general practice in Forest Park, Georgia and active in the NPI registry since January 2006. The organization lists Ly Dam, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1487634648
Entity TypeOrganization
Primary Taxonomy208D00000X
Legal Business NameVINA HEALTH CARE CLINIC CORPORATION
Location Address4487 JONESBORO RDForest Park, GA 30297-4316
Mailing Address4487 Jonesboro RdForest Park, GA 30297-4316 · (404) 366-8822 · Fax (404) 366-8824
Phone(404) 366-8822
Fax(404) 366-8824
Organization SubpartNo
Authorized OfficialLy DamOffice Manager · (404) 366-8822
Enumeration DateJanuary 21, 2006
Last NPPES UpdateDecember 8, 2011
✔ NPI 1487634648 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 · 040894
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

4487 JONESBORO RD, Forest Park, GA 30297
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Other Names 1

Former Legal Business NameVina Health Care Clinic

Other Identifiers 3

Medicare ID-Type Unspecified01BDJTWGA · Medicare Part B
Medicare UPINH05166GA
Medicaid000766884AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

DR. OANH XUAN DAM M.D.
General Practice
4487 JONESBORO RD
FOREST PARK, GA 30297
Clayton County (404) 366-8822
FOREST PARK DENTURE CENTER
Clinic/Center (Dental)
4487 JONESBORO RD
FOREST PARK, GA 30297
Clayton County (404) 549-9752

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Vina Health Care Clinic Corporation's NPI number?

The NPI number for Vina Health Care Clinic Corporation is 1487634648. It was assigned to this organization in the NPPES registry on January 21, 2006. The provider was formerly known as Vina Health Care Clinic.

Where is Vina Health Care Clinic Corporation located?

Vina Health Care Clinic Corporation is located at 4487 Jonesboro Rd, Forest Park, GA 30297. The listed phone number is (404) 366-8822.

What is Vina Health Care Clinic Corporation's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

When was this NPI record last updated?

The NPPES record for Vina Health Care Clinic Corporation was last updated on December 8, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.