Organization
TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CAROLYN KEELAGHAN J.D. (PROGRAM SPONSOR)
(770) 248-1616
Entity
Organization
Contact information
Practice address
1895 BEAVER RIDGE CIR, SUITE N, NORCROSS, GA 30071-3840
(770) 248-1616
(770) 248-1618
Mailing address
2221 PEACHTREE RD NE, #D-291, ATLANTA, GA 30309-1148
(770) 248-1616
(770) 248-1618
Taxonomy
Speciality
Code
Description
License number
State
261QM2800X
Methadone Clinic
Primary
NTO001031
GA
Other
Enumeration date
01/19/2010
Last updated
01/19/2010
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