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1609269018
GEORGIA STATE DIAGNOSTICS LLC
ATLANTA, GA
NPI
1609269018
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Entity Type
Organization
Authorized Contact
KEITH FERNANDEZ
Manager
407-474-9253
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2015-03-09
Last Update Date
2015-03-09
Business Address
GEORGIA STATE DIAGNOSTICS LLC
3379 PEACHTREE RD NE SUITE 555
ATLANTA, GA 30326-1031
Phone number: 407-474-9253
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Mailing Address
GEORGIA STATE DIAGNOSTICS LLC
3379 PEACHTREE RD NE SUITE 555
ATLANTA, GA 30326-1031
Phone number:
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