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Organization
C19 RAPID TESTING SOLUTION LLC
Active
Organization
C19 RAPID TESTING SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY JASON WHITE DO (ORGANIZER)
(786) 351-5729
Entity
Organization
Contact information
Practice address
200 PARK VIEW CT, LIZELLA, GA 31052-3621
(786) 351-5729
Mailing address
2304 HERITAGE DR, OPELIKA, AL 36804-7608
(786) 351-5729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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