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Clinica Sagrado Corazon De Jesus Llc
Family Nurse Practitioner in Chamblee, Georgia
NPI 1821203944

Clinica Sagrado Corazon De Jesus Llc is a Family Nurse Practitioner based in Chamblee, GA and is specialized in Family. Clinica Sagrado Corazon De Jesus Llc practices in Chamblee, GA. The NPI Number for Clinica Sagrado Corazon De Jesus Llc is 1821203944 and holds a License No. (Georgia).

The current practice location address for Clinica Sagrado Corazon De Jesus Llc is 4163 Clairmont Rd, Chamblee, GA and can be reached out via phone at 770-458-4408 and via fax at 800-948-7041.

Location: 4163 Clairmont Rd, Chamblee, GA, 30341
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1821203944
Provider Name
Clinica Sagrado Corazon De Jesus Llc
Credential
Provider Entity Type
Organization
Address
4163 Clairmont Rd, Chamblee, GA, 30341
Phone Number
770-458-4408
Fax Number
800-948-7041
Provider Enumeration Date
05/11/2007
Last Update Date
03/12/2024
institution
Provider Business Practice Location Address Details
Address
4163 Clairmont Rd
City
Chamblee
State
Georgia
Zip
30341
Phone Number
770-458-4408
Fax Number
800-948-7041
person
Provider Business Mailing Address Details
Address
4163 Clairmont Rd
City
Chamblee
State
Georgia
Zip
30341
Phone Number
770-458-4408
Fax Number
800-948-7041
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
261Q00000X
License No.
()
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Family Planning, Non-Surgical
Taxonomy
261QF0050X
License No.
()
Definition
An entity, facility, or distinct part of a facility, or mobile unit providing non-surgical, family planning/reproductive services including physical examination, laboratory services such as PAP or pregnancy tests; pregnancy, pregnancy prevention/contraceptive, and nutritional counseling, and contraceptives or prescriptions for contraceptives.
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Health Service
Taxonomy
261QH0100X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Primary Care
Taxonomy
261QP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Urgent Care
Taxonomy
261QU0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
363AM0700X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 7
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
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