| Clinica Santa Fe | |
|
3750 Venture Dr Suite 130 Duluth GA 30096-1808 | |
| (770) 495-7942 | |
| (770) 495-7943 |
| Full Name | Clinica Santa Fe |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 3750 Venture Dr, Duluth, Georgia |
| Authorized Official Name and Position | Manuel Lozano (OWNER) |
| Authorized Official Contact | 7704957942 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Clinica Santa Fe 3750 Venture Dr Suite 130 Duluth GA 30096-1808 Ph: (770) 495-7942 | Clinica Santa Fe 3750 Venture Dr Suite 130 Duluth GA 30096-1808 Ph: (770) 495-7942 |
| NPI Number | 1114141660 |
|---|---|
| Provider Enumeration Date | 04/13/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114141660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 2007000070 (Georgia) | Primary |
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