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Organization

SOLVENT LLC

Active
Parent organization
SOLVENT LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SOLVENT LLC
Authorized official
MELANDY JONES (NURSE PRACTITIONER)
(478) 283-6805
Entity
Organization

Contact information

Practice address
104 BRANDON WAY, BYRON, GA 31008-5433
(478) 283-6805
Mailing address
104 BRANDON WAY, BYRON, GA 31008-5433
(478) 283-6805

Taxonomy

Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1245871250
GA
Enumeration date
03/27/2020
Last updated
03/27/2020
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