Organization
SO VEIN DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARKIA MADDOX (DIRECTOR OF LABORATORY)
(404) 965-0775
Entity
Organization
Contact information
Practice address
6045 CREEKFORD DR, LITHONIA, GA 30058-7960
(404) 965-0775
Mailing address
8170 MALL PKWY # 1573, LITHONIA, GA 30038-2545
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
03/26/2024
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