Individual
MS. INDIA ADSIDE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
159 STEVEN DR APT 10204, MACON, GA 31210-5877
(478) 284-8229
Mailing address
159 STEVEN DR APT 10204, MACON, GA 31210-5877
(478) 284-8229
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
02/10/2022
Last updated
02/10/2022
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