Organization
MEDALERT,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK OGBEBOR (ADMINISTRATOR)
(770) 892-1821
Entity
Organization
Contact information
Practice address
1240 HIGHWAY 54 W, SUITE 102, FAYETTEVILLE, GA 30214-4557
(770) 892-1821
Mailing address
1240 HIGHWAY 54 W, SUITE 102, FAYETTEVILLE, GA 30214-4557
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
2266
GA
Other
Enumeration date
07/31/2013
Last updated
07/31/2013
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