Organization
BIOTECH LABS LLC
Active
Other names
Mednow of Dalton A Divison of Biotech Labs LLC, Biotech Lab LLC
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY BULLOCK PRACTICE MANAGER (PRACTICE MANAGER)
(706) 275-4444
Entity
Organization
Contact information
Practice address
2709 AIRPORT RD, DALTON, GA 30721-0252
(706) 275-4444
(706) 275-6515
Mailing address
2709 AIRPORT RD, DALTON, GA 30721-0252
(706) 275-4444
(706) 275-6515
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1447304316
—
GA
Enumeration date
10/02/2023
Last updated
10/27/2023
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