Centro Prenatal de Georgia

Primary specialty

Women's Health Clinical Nurse SpecialistTaxonomy code 364SW0102X

License

RN1185224NP Issued in GA

Legal business name

CENTRO PRENATAL DE GEORGIA

Practice address

4990 Phillips Dr
Forest Park, GA 30297-1472

Phone

(404) 608-7449

Fax

(404) 608-7451

NPI assigned

Oct 30, 2014

Last updated

Oct 30, 2014By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalba Gomez

Title

Office Manager

Phone

(404) 608-7449

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1414627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414627200000",
    "number": "1073918207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4990 PHILLIPS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971472",
            "telephone_number": "404-608-7449",
            "fax_number": "404-608-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4990 PHILLIPS DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971472",
            "telephone_number": "404-608-7449",
            "fax_number": "404-608-7451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRO PRENATAL DE GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-30",
        "last_updated": "2014-10-30",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-608-7449"
    },
    "taxonomies": [
        {
            "code": "364SW0102X",
            "taxonomy_group": "",
            "desc": "Clinical Nurse Specialist, Women's Health",
            "state": "GA",
            "license": "RN1185224NP",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Nurse Specialist in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Clinical Nurse Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.