Provider Demographics
NPI:1063727071
Name:ROMERO, SITA C (LMT, CD, HCHI)
Entity type:Individual
Prefix:MRS
First Name:SITA
Middle Name:C
Last Name:ROMERO
Suffix:
Gender:F
Credentials:LMT, CD, HCHI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6018 WOODCREEK DR
Mailing Address - Street 2:
Mailing Address - City:WOODSTOCK
Mailing Address - State:GA
Mailing Address - Zip Code:30188-2996
Mailing Address - Country:US
Mailing Address - Phone:770-344-9416
Mailing Address - Fax:
Practice Address - Street 1:4651 CHAMBLEE DUNWOODY RD STE B
Practice Address - Street 2:
Practice Address - City:DUNWOODY
Practice Address - State:GA
Practice Address - Zip Code:30338-6339
Practice Address - Country:US
Practice Address - Phone:678-683-0808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-13
Last Update Date:2010-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula