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Organization
CENTRO PRENATAL DE GWINNETT LLC
Active
Organization
CENTRO PRENATAL DE GWINNETT LLC
Active
Other names
Centro Prenatal De Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALBA GOMEZ (CEO)
(678) 492-8477
Entity
Organization
Contact information
Practice address
575 W PIKE ST STE 1, LAWRENCEVILLE, GA 30046-7685
(770) 277-0230
Mailing address
575 W PIKE ST STE 1, LAWRENCEVILLE, GA 30046-7685
(770) 277-0230
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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