Organization
IT'S JUST BLOOD DIAGNOSTIC TESTING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIFFANY NICHELLE MCMULLION (OWNER/ADMINISTER)
(229) 415-8814
Entity
Organization
Contact information
Practice address
1004 MARION ST, VALDOSTA, GA 31601-4029
(229) 415-8814
Mailing address
4531 BRICE BEND DR, VALDOSTA, GA 31601-0746
(229) 415-8814
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2022
Last updated
07/14/2022
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