Organization
KLA MEDICAL SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNN WATSON MANAGER (MANAGER)
(706) 320-0230
Entity
Organization
Contact information
Practice address
1214 WILDWOOD AVE, COLUMBUS, GA 31906-2538
(706) 320-0230
(706) 221-7136
Mailing address
1214 WILDWOOD AVE, COLUMBUS, GA 31906-2538
(706) 320-0230
(706) 221-7136
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
106R0014
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00902052A
—
GA
Enumeration date
12/01/2006
Last updated
08/22/2020
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