MARQUEZ FAMILY MEDICAL CENTER LLC NPI 1588318711

NPI Information

MARQUEZ FAMILY MEDICAL CENTER LLC is a primary care nurse practitioner in Duluth, GA. MARQUEZ FAMILY MEDICAL CENTER LLC NPI is 1588318711. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Centro Medico Familiar.

The provider's business location address is:

3840 PEACHTREE INDUSTRIAL BLVD STE 250
DULUTH, GA
ZIP 30096-034
Phone: (678) 585-4959
Fax: (470) 395-9127

The provider's authorized official is Orlin Yared Marquez .
The authorized official title is Medical Director/ceo and has the following contact phone number (678) 585-4959.

The CLIA number assigned to this NPI record is 11D2262692 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/7/2022 and was last updated on 5/10/2022.

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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