| NPI | 1558141135 |
|---|---|
| Doing Business As | BIOTECH LAB LLC |
| Entity Type | Organization |
| Authorized Contact | HOLLY BULLOCK Practice Manager 706-275-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2023-10-27 |