Organization
GSH LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLEY DEPP (PAYER RELATIONS LIAISON)
(770) 579-2626
Entity
Organization
Contact information
Practice address
621 S NEW BALLAS RD STE 1017B, SAINT LOUIS, MO 63141-8264
(314) 993-6401
(314) 993-5475
Mailing address
PO BOX 468329, ATLANTA, GA 31146-8329
(404) 943-0205
(404) 943-0209
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
03/17/2018
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