Organization
SOUTHEASTERN ENDOCRINE LABORATORY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. H RON DAVIDSON (EXECUTIVE ADMINISTRATOR)
(404) 459-3473
Entity
Organization
Contact information
Practice address
1100 JOHNSON FERRY ROAD, SUITE 200, ATLANTA, GA 30342
(404) 257-1900
(404) 257-0792
Mailing address
1100 JOHNSON FERRY ROAD, SUITE 200, ATLANTA, GA 30342
(404) 257-1900
(404) 257-0792
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
060171
GA
Other
Enumeration date
03/19/2007
Last updated
08/03/2011
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