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Organization

YOUR CHOICE LABORATORY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CRYSTAL WHITE (ADMINISTRATION)
(404) 988-8811
Entity
Organization

Contact information

Practice address
3818 NORTHLAKE CREEK DR, TUCKER, GA 30084-3418
(404) 988-8811
Mailing address
3818 NORTHLAKE CREEK DR, TUCKER, GA 30084-3418
(404) 988-8811

Taxonomy

Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary

Other

Enumeration date
11/02/2021
Last updated
02/24/2022
Update your record

If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.

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