# CENTRO DE SALUD FAMILIAR II , LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro De Salud Familiar,LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1396974853
- **Authorized official:** MR. ELISEO VALLEJO (MANAGER)
- **Authorized official phone:** (404) 361-0303

## Contact information

- **Practice address:** 4921 JONESBORO RD, SUITE E, FOREST PARK, GA 30297-4301
- **Practice address phone:** (404) 361-0303
- **Practice address fax:** (404) 361-0353
- **Mailing address:** 4921 JONESBORO RD, SUITE E, FOREST PARK, GA 30297-4301
- **Mailing address phone:** (404) 361-0303
- **Mailing address fax:** (404) 361-0353

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 07/06/2009