Organization
C19 RAPID TESTING SOLUTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY JASON WHITE DO (ORGANIZER)
(786) 351-5729
Entity
Organization
Contact information
Practice address
200 PARK VIEW CT, LIZELLA, GA 31052-3621
(786) 351-5729
Mailing address
2304 HERITAGE DR, OPELIKA, AL 36804-7608
(786) 351-5729
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/26/2021
Last updated
08/26/2021
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