| NPI | 1710433057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE BAUER Director Of Revenue Cycle Managemen 706-461-3120 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2016-08-28 |
| Last Update Date | 2025-10-17 |