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CLINICA AGAVE CLINIC
NPI 1851496939
Family Medicine in Conyers, GA

Active since September 14, 2006
425 SIGMAN ROAD, SUITE #109, CONYERS, GA 30012(678) 413-2026(678) 413-2030 Get Directions Write a Review

NPPES record last updated: March 23, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Clinica Agave Clinic NPPES

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

CLINICA AGAVE CLINIC (NPI 1851496939) is a healthcare organization registered as a family medicine in Conyers, Georgia and active in the NPI registry since September 2006. The organization lists Judith Takem Chabot, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1851496939
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCLINICA AGAVE CLINIC
Location Address425 SIGMAN ROAD, SUITE #109Conyers, GA 30012
Mailing Address425 Sigman Road, Suite #109Conyers, GA 30012 · (678) 413-2026 · Fax (678) 413-2030
Phone(678) 413-2026
Fax(678) 413-2030
Organization SubpartNo
Authorized OfficialJudith Takem ChabotOwner/administrator · (678) 413-2026
Enumeration DateSeptember 14, 2006
Last NPPES UpdateMarch 23, 2010
✔ NPI 1851496939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
425 SIGMAN ROAD, Conyers, GA 30012
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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

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 Clinica Agave Clinic's NPI number?

The NPI number for Clinica Agave Clinic is 1851496939. It was assigned to this organization in the NPPES registry on September 14, 2006.

Where is Clinica Agave Clinic located?

Clinica Agave Clinic is located at 425 Sigman Road Suite #109, Conyers, GA 30012. The listed phone number is (678) 413-2026.

What is Clinica Agave Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Clinica Agave Clinic was last updated on March 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.