| NPI | 1871075895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY SCOTT MILLER Medical Director 706-373-1772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: GA 044-141) |
| Enumeration Date | 2018-09-06 |
| Last Update Date | 2018-09-06 |