Organization · Type 2 NPI
Clinica Santa Maria LLC
Health Service Clinic/Center · Acworth, GA
NPI number
1255600565
Active
Practice location
6158 Highway 92 Ste 101
Acworth, GA 30102-2332
Fax (770) 928-8452
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Health Service Clinic/Center Primary | 261QH0100X | LC20110001409 (GA) |
Health Service Clinic/Center: Definition to come...
3 other providers at this address
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About NPI 1255600565
Clinica Santa Maria LLC's National Provider Identifier is 1255600565, issued on Dec 16, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Acworth, GA. The record was last updated on Jun 21, 2012.