| NPI | 1770018343 |
|---|---|
| Doing Business As | LICE CLINICS OF AMERICA - NORTH GWINNETT |
| Entity Type | Organization |
| Authorized Contact | GREG TYNER Operating Partner 770-756-8970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 247200000X Technician, Other |
| Enumeration Date | 2017-04-20 |
| Last Update Date | 2017-04-20 |