# CENTRO PRENATAL DE NORCROSS CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Centro Prenatal De Georgia
- **Organization subpart:** No

## Provider details

- **NPI number:** 1780254201
- **Authorized official:** MRS. ROSALBA GOMEZ (CEO)
- **Authorized official phone:** (678) 492-8477

## Contact information

- **Practice address:** 5195 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30093-1649
- **Practice address phone:** (470) 514-5818
- **Practice address fax:** (770) 734-9793
- **Mailing address:** 5195 JIMMY CARTER BLVD STE 100, NORCROSS, GA 30093-1649
- **Mailing address phone:** (470) 514-5818

## Taxonomy

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

## Other

- **Enumeration date:** 06/28/2021
- **Last updated:** 06/28/2021