Organization
KMA HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GIANNA BOCHICCHIO (PRESIDENT, MANAGING MEMBER)
(678) 456-8704
Entity
Organization
Contact information
Practice address
110 SAMARITAN DR STE 205, CUMMING, GA 30040-2569
(678) 456-8704
Mailing address
110 SAMARITAN DR STE 205, CUMMING, GA 30040-2569
(678) 989-6115
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/11/2021
Last updated
05/10/2021
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