Organization
LTCC ENTERPRISES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CARMEN COOPER (OWNER)
(404) 500-0087
Entity
Organization
Contact information
Practice address
933 N HAIRSTON RD STE 4, STONE MOUNTAIN, GA 30083-2850
(404) 500-0087
Mailing address
933 N HAIRSTON RD STE 4, STONE MOUNTAIN, GA 30083-2850
(404) 500-0087
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
10/16/2023
Last updated
10/16/2023
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