Organization
MICROSURE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JIMMY WAYNE FORTENBERRY (MANAGING MEMBER)
(256) 393-0340
Entity
Organization
Contact information
Practice address
7851 HICKORY FLAT HWY STE 204, WOODSTOCK, GA 30188-2352
(256) 393-0340
Mailing address
7851 HICKORY FLAT HWY STE 204, WOODSTOCK, GA 30188-2352
(256) 393-0340
Taxonomy
Speciality
Code
Description
License number
State
246QL0900X
Laboratory Management Specialist/Technologist
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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