| NPI | 1598427130 |
|---|---|
| Former Legal Business Name | CDSF NORCROSS MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | RODRIGO PARRA Owner, CFO 678-333-3498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP0904X Clinic/Center, Public Health, Federal |
| Enumeration Date | 2021-10-11 |
| Last Update Date | 2025-01-03 |