| 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 |