| NPI | 1073637740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HARROLD Office Manager 229-439-7170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 047-015) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2008-07-31 |