Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Active
Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE FARMER (DIRECTOR OF LABORATORY SERVICES)
(404) 309-9314
Entity
Organization
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR, SUITE 350, CUMMING, GA 30041-7668
(770) 677-5831
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
11D1028044
GA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/15/2021
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