# CLINICA MATERNAL DE LA MUJER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1700652575
- **Authorized official:** MARTHA GOMEZ (CEO)
- **Authorized official phone:** (864) 617-9410

## Contact information

- **Practice address:** 861 HOLCOMB BRIDGE RD STE 200, ROSWELL, GA 30076-1900
- **Practice address phone:** (770) 910-9276
- **Practice address fax:** (770) 910-9278
- **Mailing address:** 861 HOLCOMB BRIDGE RD STE 200, ROSWELL, GA 30076-1900
- **Mailing address phone:** (770) 910-9276
- **Mailing address fax:** (770) 910-9278

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | — | NULL | Yes |
| 207V00000X | Obstetrics & Gynecology Physician | — | — | Yes |

## Other

- **Enumeration date:** 12/01/2023
- **Last updated:** 12/01/2023