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Organization

CENTRO MEDICO SAN ANTONIO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NANCY REYES (MANAGER)
(770) 885-9684
Entity
Organization

Contact information

Practice address
5139 JIMMY CARTER BLVD STE 203, NORCROSS, GA 30093-1638
(770) 885-9684
Mailing address
5139 JIMMY CARTER BLVD STE 203, NORCROSS, GA 30093-1638
(770) 885-9684

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
06/24/2022
Last updated
07/06/2022
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