Organization
CLINICA SANTA MARIA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTONIO MENDOZA (CLINIC MANAGER)
(770) 928-8450
Entity
Organization
Contact information
Practice address
6158 HIGHWAY 92 STE 101, ACWORTH, GA 30102-2332
(770) 928-8450
(770) 928-8452
Mailing address
6158 HIGHWAY 92 STE 101, ACWORTH, GA 30102-2332
(770) 928-8450
(770) 928-8452
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
LC20110001409
GA
Other
Enumeration date
12/16/2011
Last updated
06/21/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up