| NPI | 1942477989 |
|---|---|
| Doing Business As | MOLDTC |
| Entity Type | Organization |
| Authorized Contact | LESLIE HUTCHINSON Director 770-840-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0001X Internal Medicine Clinical & Laboratory Immunology (Licence: GA MD123445) |
| Enumeration Date | 2008-05-09 |
| Last Update Date | 2008-05-09 |