| NPI | 1710635081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL DAVIS Owner 229-288-5898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251300000X Local Education Agency (LEA) |
| Additional Taxonomies | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2022-03-15 |
| Last Update Date | 2022-03-15 |