Individual
MARY LATRELLE REESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1393 CLEVELAND AVE STE 107EAST, EAST POINT, GA 30344-3423
(404) 548-3100
Mailing address
290 MONTEGO CIR, RIVERDALE, GA 30274-3617
(404) 548-3100
Taxonomy
Speciality
Code
Description
License number
State
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
01/06/2025
Last updated
01/06/2025
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