NPI | 1679634612 |
---|---|
Doing Business As | CLINICAL GENETICS ASSOCIATES |
Entity Type | Organization |
Authorized Contact | ROBIN J. MADDOX Provider Enrollment Coordinator 912-350-9335 |
Organization Subpart ? | No |
Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
Additional Taxonomies | 207SG0203X Medical Genetics, Clinical Molecular Genetics |
Enumeration Date | 2006-12-13 |
Last Update Date | 2007-11-12 |