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1629822259
ETHEREAL DIAGNOSTICS & SERVICES LLC
VALDOSTA, GA
NPI
1629822259
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Entity Type
Organization
Authorized Contact
PORSHA TERELL ROBINSON
CEO
877-586-2971
Organization Subpart ?
No
Primary Taxonomy
261QH0100X Clinic/Center, Health Services
Enumeration Date
2024-04-11
Last Update Date
2024-04-11
Business Address
ETHEREAL DIAGNOSTICS & SERVICES LLC
100 N PATTERSON ST STE A
VALDOSTA, GA 31601-5570
Phone number: 877-586-2971
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Mailing Address
ETHEREAL DIAGNOSTICS & SERVICES LLC
1 GRAND PARK LN APT 3119
THOMASVILLE, GA 31757-4909
Phone number: 229-579-6847
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