| NPI | 1578846036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATISIA BROOKS Pharmacist 678-536-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 8) |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2022-07-21 |