Organization
CENTRO PRENATAL DE GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALBA GOMEZ (OFFICE MANAGER)
(404) 608-7449
Entity
Organization
Contact information
Practice address
4990 PHILLIPS DR, FOREST PARK, GA 30297-1472
(404) 608-7449
(404) 608-7451
Mailing address
4990 PHILLIPS DR, FOREST PARK, GA 30297-1472
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
038785
GA
Other
Enumeration date
11/05/2014
Last updated
11/05/2014
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