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Organization

INTELLIGENETICS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANUARY MILLER GREEN (VP, HR)
(334) 819-4500
Entity
Organization

Contact information

Practice address
24 NEW ORLEANS RD, SUITE 100, HILTON HEAD, SC 29928-4721
(334) 819-4500
(334) 819-4520
Mailing address
3480 EASTERN BLVD, MONTGOMERY, AL 36116-1700

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
8038983432
SC

Other

Enumeration date
03/18/2014
Last updated
02/24/2015
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