CENTRO PRENATAL DE GEORGIA NPI 1073918207

NPI Information

CENTRO PRENATAL DE GEORGIA is a women's health clinical nurse specialist in Forest Park, GA. CENTRO PRENATAL DE GEORGIA NPI is 1073918207. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4990 PHILLIPS DR
FOREST PARK, GA
ZIP 30297-472
Phone: (404) 608-7449
Fax: (404) 608-7451

The provider's authorized official is Rosalba Gomez .
The authorized official title is Office Manager and has the following contact phone number (404) 608-7449.

The CLIA number assigned to this NPI record is 11D2043157 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 10/30/2014 and was last updated on 10/30/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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