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Organization

GENESIS HEALTH LAB LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. DOVETTA STANTON (OWNER)
(678) 760-6056
Entity
Organization

Contact information

Practice address
495 DEERWOOD DR, SUWANEE, GA 30024-2714
(678) 760-6056
Mailing address
495 DEERWOOD DR, SUWANEE, GA 30024-2714
(678) 760-6056

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
09/27/2021
Last updated
09/27/2021
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