CENTRO PRENATAL DE GEORGIA NPI 1073918207

NPI Information

  • NPI: 1073918207
  • Provider Name: CENTRO PRENATAL DE GEORGIA
  • Classification: Clinical Nurse Specialist - 364SW0102X
  • Specialization: Women's Health
  • Entity Type: Organization
  • CLIA Number: 11D2043157
  • Address: 4990 PHILLIPS DR
    FOREST PARK, GA
    ZIP 30297
  • Phone: (404) 608-7449

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NPI Details

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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1364SW0102XClinical Nurse SpecialistWomen's HealthRN1185224NPGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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