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MCDONOUGH, GA
NPI1124626684
Entity TypeOrganization
Authorized ContactKIYA PAGE
Owner
407-507-0040
Organization Subpart ?No
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2020-10-15
Last Update Date2020-10-15
Business Address
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600 WESTRIDGE PARKWAY STE 714
MCDONOUGH, GA 30253
Phone number: 470-507-0040
Mailing Address
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600 WESTRIDGE PARKWAY STE 714
MCDONOUGH, GA 30253
Phone number: 470-507-0040