Lifetest Of Georgia, Llc

NPI 1255339107 - Clinic/Center - 261QR0200X

NPI Details
NPI 1255339107
Enumeration Date 07/13/2005
Last Updated 07/08/2007
Entity Type Healthcare Provider
Active Over 12 years ago
Authorized Information
Name LEE LEE
Position EXECUTIVE DIRECTOR
Phone (770) 730-0119
Fax (770) 730-0114
Practice Location
1140 HAMMOND DR NE
BUILDING I, STE 9120
ATLANTA GA, 30328-5338, US
Phone (770) 730-0119
Fax (770) 730-0114
Business Location
1140 HAMMOND DR NE
BUILDING I, STE 9120
ATLANTA GA, 30328-5338, US
Phone (770) 730-0119
Fax (770) 730-0114
Toxanomy
Taxonomy Code 261QR0200X
License State Georgia
License Number BL02-11466
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According to our database, Lifetest Of Georgia, Llc NPI is 1255339107, taxonomy code is 261QR0200X and license number is BL02-11466, license state is located at Georgia. Lifetest Of Georgia, Llc physically located at 1140 Hammond Dr Ne, Atlanta GA, 30328-5338. NPI Number 1033115704 has the healthcare provider type.

1255339107 NPI number is provided on an as is basis without warranty of any kind. 1255339107 is maintained by the National Plan & Provider Enumeration System. The contents of Lifetest Of Georgia, Llc are for informational purposes only.