CLINICA SANTA MARIA LLC is a health service clinic center in Acworth, GA. CLINICA SANTA MARIA LLC NPI is 1255600565. The provider is registered as an organization entity type.
The provider's business location address is:
6158 HIGHWAY 92 STE 101
ACWORTH, GA
ZIP 30102-332
Phone: (770) 928-8450
Fax: (770) 928-8452
The provider's authorized official is Antonio Mendoza .
The authorized official title is Clinic Manager and has the following contact phone number (770) 928-8450.
The CLIA number assigned to this NPI record is 11D2073782 - physician office with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/16/2011 and was last updated on 6/21/2012.