Prosalud Medical Center
Clinic/Center, Primary Care in Gainesville, GA. Organization (NPI-2).
NPI number1124478078
StatusActive
Last updated in NPPESJun 21, 2016
Details
- NPI
- 1124478078
- Entity type
- Organization (NPI-2)
- Legal business name
- Prosalud Medical Center
- Organization subpart
- No
- Enumeration date
- Jun 21, 2016
- Last updated
- Jun 21, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QP2300X | Clinic/Center, Primary Care | – | – | Yes |
Practice location
1870 Atlanta RdSte J
Gainesville, GA 30504-5948
Phone 770-534-0690
Mailing address
1870 Atlanta RdSte J
Gainesville, GA 30504-5948
Phone 770-534-0690
Authorized official
Arturo Ceron
President
7705340690
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