Santa Rosa Clinic, PA

NPI #1407094212 in Calhoun, Georgia

Provider Information

NPI Number
1407094212
Entity Type
Organization
Organization Name
Santa Rosa Clinic, PA
Subpart
Yes (part of a larger organization)
Parent Organization
SANTA ROSA CLINIC, PA
Primary Specialty
Clinic/Center - Adult Day Care
Enumeration Date
Feb 2, 2009
Last Updated
Feb 2, 2009

Practice Location

Address
355 RICHARDSON RD SE STE 6
State
Georgia
ZIP Code
30701-3681
Phone
(706) 625-2237

Authorized Official

Name
DR. JUAN CARLOS MALPARTIDA, MD
Title
OWNER
Phone
(706) 259-5579

Specialties & Taxonomy Codes

Specialty
Clinic/Center - Adult Day CareAdult Day Care

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