MEDFAST 2

WAYCROSS, GA
NPI1003857517
Entity TypeOrganization
Authorized ContactGERARDO A KLUG
President
912-285-3157
Organization Subpart ?No
Primary Taxonomy209800000X Legal Medicine
(Licence: GA  031778)
Enumeration Date2006-06-08
Last Update Date2020-08-22
Business Address
MEDFAST 2
1405 ALICE ST
WAYCROSS, GA 31501-4528
Phone number: 912-285-3157
Mailing Address
MEDFAST 2
1405 ALICE ST
WAYCROSS, GA 31501-4528
Phone number: 912-285-3157
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