Organization
HISPANIC MEDICAL MANAGEMENT
Active
Other names
CLINICA DE LA MAMA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TRACEY COTA (COO)
(770) 613-0070
Entity
Organization
Contact information
Practice address
706 GRAYSON HWY, SUITE 213, LAWRENCEVILLE, GA 30045-5707
(770) 339-9111
(770) 339-9939
Mailing address
5127 JIMMY CARTER BLVD, NORCROSS, GA 30093-1619
(770) 613-0070
(770) 613-0990
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
08/22/2020
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