Organization
CENTRO PRENATAL DE MARIETTA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALBA GOMEZ (BUISNESS ADMINISTRATOR)
(678) 492-8477
Entity
Organization
Contact information
Practice address
3875 AUSTELL RD STE 201, AUSTELL, GA 30106-1153
(678) 918-9955
(678) 433-0330
Mailing address
3875 AUSTELL RD STE 201, AUSTELL, GA 30106-1153
(678) 918-9955
(678) 433-0330
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
—
—
207VX0000X
Obstetrics Physician
Primary
—
—
Other
Enumeration date
08/17/2026
Last updated
08/17/2026
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