| Centro De Salud Familiar Norcross Medical Clinic Llc | |
|
5836 Buford Hwy Ste C Norcross GA 30071-2581 | |
| (770) 734-9920 | |
| (770) 734-9115 |
| Full Name | Centro De Salud Familiar Norcross Medical Clinic Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 5836 Buford Hwy Ste C, Norcross, Georgia |
| Authorized Official Name and Position | Rodrigo Parra (OWNER, CFO) |
| Authorized Official Contact | 6783333498 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Centro De Salud Familiar Norcross Medical Clinic Llc 5717 Allee Way Braselton GA 30517-6200 Ph: (678) 333-3498 | Centro De Salud Familiar Norcross Medical Clinic Llc 5836 Buford Hwy Ste C Norcross GA 30071-2581 Ph: (770) 734-9920 |
| NPI Number | 1598427130 |
|---|---|
| Provider Enumeration Date | 10/11/2021 |
| Last Update Date | 01/03/2025 |
| Medicare PECOS PAC ID | 1850829870 |
|---|---|
| Medicare Enrollment ID | O20250103002249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598427130 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP0904X | Clinic/center - Public Health, Federal | (* (Not Available)) | Primary |
| Provider Name | Yelenny A Argueta |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1861239287 PECOS PAC ID: 0042748089 Enrollment ID: I20250103003167 |
| Provider Name | Elena Resendiz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841982238 PECOS PAC ID: 7810425881 Enrollment ID: I20250106000520 |
| Provider Name | Dalia Torres Monet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548677289 PECOS PAC ID: 4981132602 Enrollment ID: I20250109000329 |
| Provider Name | Monica Parra |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689073199 PECOS PAC ID: 5890223838 Enrollment ID: I20250225002900 |
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