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1013665355
COMPLETE WELLNESS DIAGNOSTIC LAB, LLC
CONYERS, GA
NPI
1013665355
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Entity Type
Organization
Authorized Contact
CHARNIKA PORTER
Owner/Administrator
678-643-0885
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2022-03-15
Last Update Date
2022-03-15
Business Address
COMPLETE WELLNESS DIAGNOSTIC LAB, LLC
1514 RIVERBROOKE WAY NE
CONYERS, GA 30012-6624
Phone number: 678-643-0885
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Mailing Address
COMPLETE WELLNESS DIAGNOSTIC LAB, LLC
1514 RIVERBROOKE WAY NE
CONYERS, GA 30012-6624
Phone number: 678-643-0885
Copy
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