NPI | 1326754789 |
---|---|
Doing Business As | MACK XPRESS MEDICAL DIAGNOSTICS AND PHYSICALS |
Entity Type | Organization |
Authorized Contact | KAKETHIA S MACK Owner 678-951-3794 |
Organization Subpart ? | No |
Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
Enumeration Date | 2023-01-27 |
Last Update Date | 2023-01-27 |