Organization
CLINICA SANTA FE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MANUEL LOZANO (OWNER)
(770) 495-7942
Entity
Organization
Contact information
Practice address
3750 VENTURE DR, SUITE 130, DULUTH, GA 30096-1808
(770) 495-7942
(770) 495-7943
Mailing address
3750 VENTURE DR, SUITE 130, DULUTH, GA 30096-1808
(770) 495-7942
(770) 495-7943
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
2007000070
GA
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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