# NURSING HOME LABORATORY SERVICE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669704532
- **Authorized official:** VICKIE ANN JAMES M.D. (CEO/OWNER)
- **Authorized official phone:** (404) 552-3690

## Contact information

- **Practice address:** 1875 NEW HOPE RD SW, ATLANTA, GA 30331
- **Practice address phone:** (404) 552-3690
- **Practice address fax:** (404) 344-6991
- **Mailing address:** 1875 NEW HOPE RD SW, ATLANTA, GA 30331
- **Mailing address phone:** (404) 552-3690
- **Mailing address fax:** (404) 344-6991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207QB0002X | Obesity Medicine (Family Medicine) Physician | 031032 | GA | Yes |

## Other

- **Enumeration date:** 02/03/2010
- **Last updated:** 02/03/2010