Organization
MBS CONNECTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY H TAFT LMT (OWNER)
(678) 371-6463
Entity
Organization
Contact information
Practice address
3400 MCCLURE BRIDGE RD, BLDG F, STE A, DULUTH, GA 30096-6675
(678) 371-6463
Mailing address
PO BOX 956901, DULUTH, GA 30095-9516
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
MT000400
GA
Other
Enumeration date
07/24/2008
Last updated
09/27/2009
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