Organization
HISPANIC MEDICAL MANAGEMENT
Active
Organization
HISPANIC MEDICAL MANAGEMENT
Active
Other names
CLINICA DE LA MAMA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JESSE COTA (CFO)
(770) 613-0070
Entity
Organization
Contact information
Practice address
5127 JIMMY CARTER BLVD, NORCROSS, GA 30093-1619
(770) 613-0070
(770) 613-0990
Mailing address
4140 JONESBORO RD, FOREST PARK, GA 30297-1038
(404) 608-7123
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
04/27/2007
Last updated
08/22/2020
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