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Clinica Santa Maria Llc
Health Service Clinic/Center in Acworth, Georgia
NPI 1255600565

Clinica Santa Maria Llc is a Health Service Clinic/Center based in Acworth, GA and is specialized in Health Service. Clinica Santa Maria Llc practices in Acworth, GA. The NPI Number for Clinica Santa Maria Llc is 1255600565 and holds a License No. LC20110001409 (Georgia).

The current practice location address for Clinica Santa Maria Llc is 6158 Highway 92 Ste 101, Acworth, GA and can be reached out via phone at 770-928-8450 and via fax at 770-928-8452.

Location: 6158 Highway 92 Ste 101, Acworth, GA, 30102-2332
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1255600565
Provider Name
Clinica Santa Maria Llc
Credential
Provider Entity Type
Organization
Address
6158 Highway 92 Ste 101, Acworth, GA, 30102-2332
Phone Number
770-928-8450
Fax Number
770-928-8452
Provider Enumeration Date
12/16/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6158 Highway 92 Ste 101
City
Acworth
State
Georgia
Zip
30102-2332
Phone Number
770-928-8450
Fax Number
770-928-8452
person
Provider Business Mailing Address Details
Address
6158 Highway 92 Ste 101
City
Acworth
State
Georgia
Zip
30102-2332
Phone Number
770-928-8450
Fax Number
770-928-8452
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
LC20110001409 (Georgia)
Definition
Definition to come...
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