Provider Demographics
NPI:1508389578
Name:GVS HEALTHCARE CLINICS LLC
Entity Type:Organization
Organization Name:GVS HEALTHCARE CLINICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LAVERNE
Authorized Official - Middle Name:W
Authorized Official - Last Name:POINDEXTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN, MBA
Authorized Official - Phone:770-270-5229
Mailing Address - Street 1:1718 PEACHTREE ST NW STE 360
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-7038
Mailing Address - Country:US
Mailing Address - Phone:770-270-5229
Mailing Address - Fax:770-270-9323
Practice Address - Street 1:1718 PEACHTREE ST NW STE 360
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-7038
Practice Address - Country:US
Practice Address - Phone:770-270-5229
Practice Address - Fax:770-270-9323
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty