Organization
CLINICA SAGRADO CORAZON DE JESUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIA A LINARTE (GENERAL MANAGER)
(770) 458-4408
Entity
Organization
Contact information
Practice address
4163 CLAIRMONT RD, SUITE A, CHAMBLEE, GA 30341
(770) 458-4408
(800) 948-7041
Mailing address
4163 CLAIRMONT ROAD, SUITE A, CHAMBLEE, GA 30341
(770) 458-4408
(800) 948-7041
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QF0050X
Non-Surgical Family Planning Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
—
363AM0700X
Medical Physician Assistant
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
05/11/2007
Last updated
09/21/2009
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