| NPI | 1942995618 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA DARDEN-RIVERS CEO 912-202-6179 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RM2200X Technician, Pathology, Medical Laboratory |
| Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |