Clinica Santa Maria 2, Llc | |
6158 Highway 92 Ste 101 Acworth GA 30102-2332 | |
(770) 928-8450 | |
(770) 928-8452 |
Full Name | Clinica Santa Maria 2, Llc |
---|---|
Speciality | Family Medicine |
Location | 6158 Highway 92 Ste 101, Acworth, Georgia |
Authorized Official Name and Position | Antonio Mendoza (OFFICE MANAGER) |
Authorized Official Contact | 7709288450 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Clinica Santa Maria 2, Llc 6158 Highway 92 Ste 101 Acworth GA 30102-2332 Ph: (770) 928-8450 | Clinica Santa Maria 2, Llc 6158 Highway 92 Ste 101 Acworth GA 30102-2332 Ph: (770) 928-8450 |
NPI Number | 1871934323 |
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Provider Enumeration Date | 07/12/2013 |
Last Update Date | 07/12/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1871934323 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207V00000X | Obstetrics & Gynecology | (* (Not Available)) | Secondary |
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