Organization
FULL PLATE INDUSTRIES, LLC
Active
Organization
FULL PLATE INDUSTRIES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KEISHA N. FORD-JENRETTE (PRINCIPAL)
(678) 469-4212
Entity
Organization
Contact information
Practice address
320 LANIER AVE W STE 200, FAYETTEVILLE, GA 30214-7443
(678) 469-4212
Mailing address
261 SNOW BIRD DR, HAMPTON, GA 30228-3530
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
—
—
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
08/23/2022
Last updated
08/26/2022
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