| Centro Medico San Antonio Llc | |
|
5139 Jimmy Carter Blvd Ste 203 Norcross GA 30093-1638 | |
| (770) 885-9684 | |
| Not Available |
| Full Name | Centro Medico San Antonio Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5139 Jimmy Carter Blvd Ste 203, Norcross, Georgia |
| Authorized Official Name and Position | Nancy Reyes (MANAGER) |
| Authorized Official Contact | 7708859684 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro Medico San Antonio Llc 5139 Jimmy Carter Blvd Ste 203 Norcross GA 30093-1638 Ph: (770) 885-9684 | Centro Medico San Antonio Llc 5139 Jimmy Carter Blvd Ste 203 Norcross GA 30093-1638 Ph: (770) 885-9684 |
| NPI Number | 1346972858 |
|---|---|
| Provider Enumeration Date | 06/24/2022 |
| Last Update Date | 07/06/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346972858 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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