Organization
CENTRO PRENATAL DE GWINNETT LLC
Active
Other names
Centro Prenatal De Georgia
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALBA GOMEZ (CEO)
(678) 492-8477
Entity
Organization
Contact information
Practice address
575 W PIKE ST STE 1, LAWRENCEVILLE, GA 30046-7685
(770) 277-0230
Mailing address
575 W PIKE ST STE 1, LAWRENCEVILLE, GA 30046-7685
(770) 277-0230
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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