Organization
THE MEDI GROUP. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA LANE (DIRECTOR OF ADMINISTRATION)
(770) 483-6393
Entity
Organization
Contact information
Practice address
1257 COMMERCIAL DR SW STE B, CONYERS, GA 30094-5991
(770) 483-6393
(770) 825-9977
Mailing address
1257 COMMERCIAL DR SW STE B, CONYERS, GA 30094-5991
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
11/09/2012
Last updated
11/09/2012
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