| NPI | 1396447140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA NICOLE SUTTON Owner 470-891-0940 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2023-03-17 |
| Last Update Date | 2023-03-17 |