Organization · Type 2 NPI
Clinica Sagrado Corazon de Jesus LLC
Primary Care Clinic/Center · Chamblee, GA
NPI number
1821203944
Active
Practice location
4163 Clairmont Rd, Suite A
Chamblee, GA 30341
Fax (800) 948-7041
Mailing address
4163 Clairmont Road, Suite A
Chamblee, GA 30341
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinic/Center | 261Q00000X | None listed |
| Non-Surgical Family Planning Clinic/Center | 261QF0050X | None listed |
| Health Service Clinic/Center | 261QH0100X | None listed |
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
| Urgent Care Clinic/Center | 261QU0200X | None listed |
| Medical Physician Assistant | 363AM0700X | None listed |
| Family Nurse Practitioner | 363LF0000X | None listed |
Primary Care Clinic/Center: Definition to come...
Other primary care clinic/center providers in Chamblee
About NPI 1821203944
Clinica Sagrado Corazon de Jesus LLC's National Provider Identifier is 1821203944, issued on May 11, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Chamblee, GA. The record was last updated on Sep 21, 2009.