Organization
COTA MEDICAL MANAGEMENT
Active
Organization
COTA MEDICAL MANAGEMENT
Active
Other names
CLINICA DE LA MAMA
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FELIPE COTA (CFO)
(678) 584-5865
Entity
Organization
Contact information
Practice address
3750 VENTURE DR, SUITE 140, DULUTH, GA 30096-1808
(678) 584-5865
Mailing address
3750 VENTURE DR, SUITE 140, DULUTH, GA 30096-1808
(678) 584-5865
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2015007976
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10533405993
—
GA
05
—
10937577239
—
GA
Enumeration date
11/09/2015
Last updated
11/09/2015
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