| NPI | 1487227997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA LYNN NELSON-PORTER Researcher/Clia Waived Laboratory 770-365-7577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 251E00000X Home Health |
| 261QC1500X Clinic/Center, Community Health | |
| 261QG0250X Clinic/Center, Genetics | |
| 385H00000X Respite Care | |
| Enumeration Date | 2021-07-22 |
| Last Update Date | 2021-07-22 |