Organization
MED IV HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANICE MOSLEY (OWNER)
(404) 966-4672
Entity
Organization
Contact information
Practice address
531 EXAM CT, LAWRENCEVILLE, GA 30044-5428
(770) 742-2885
Mailing address
531 EXAM CT, LAWRENCEVILLE, GA 30044-5428
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/24/2022
Last updated
02/24/2022
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