Organization
PHARMALAB,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MERCEDES G GIRON (CFO)
(478) 719-9103
Entity
Organization
Contact information
Practice address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 719-9103
Mailing address
3356 VINEVILLE AVE, MACON, GA 31204-2328
(478) 719-9103
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
041564
GA
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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