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Organization
CIAO BELLA MEDICAL CENTER AND SPA
Active
Organization
CIAO BELLA MEDICAL CENTER AND SPA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LATOYA BENITA STEPHENS M.D. (OWNER/PHYSICIAN)
(770) 683-9136
Entity
Organization
Contact information
Practice address
175 JEFFERSON PKWY, NEWNAN, GA 30263-5823
(770) 683-9136
(770) 683-9148
Mailing address
6400 INDUSTRIAL LOOP, GREENDALE, WI 53129-2452
(414) 423-4100
(414) 423-4134
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
58512
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
400993872F
—
GA
Enumeration date
03/19/2013
Last updated
03/10/2022
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