Clinica Sagrado Corazon De Jesus LLC

NPI #1821203944 in Chamblee, Georgia

Provider Information

NPI Number: 1821203944
Entity Type: Organization
Organization Name: Clinica Sagrado Corazon De Jesus LLC
Primary Specialty: Clinic/Center - Primary Care
Enumeration Date: May 11, 2007
Last Updated: Sep 21, 2009

Practice Location

Address: 4163 CLAIRMONT RD
Address 2: SUITE A
City: Chamblee
State: Georgia
ZIP Code: 30341
Phone: (770) 458-4408

Authorized Official

Name: MARIA A LINARTE
Title: GENERAL MANAGER
Phone: (770) 458-4408

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center	261Q00000X
Clinic/Center - Family Planning, Non-Surgical — Family Planning, Non-Surgical	261QF0050X
Clinic/Center - Health Service — Health Service	261QH0100X
Clinic/Center - Urgent Care — Urgent Care	261QU0200X
Nurse Practitioner - Family — Family	363LF0000X
Physician Assistant - Medical — Medical	363AM0700X
Clinic/Center - Primary Care — Primary Care	261QP2300X	Primary

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