Organization
PATHMEDIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROSELYNE O LOVELACE (ADMINISTRATOR)
(770) 679-9348
Entity
Organization
Contact information
Practice address
2055 GEES MILL RD NE, SUITE 326, CONYERS, GA 30013-1362
(770) 679-9348
Mailing address
903 HONEY CREEK RD SE # B, SUITE 275, CONYERS, GA 30094-2801
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
122-R-0608
GA
Other
Enumeration date
11/17/2009
Last updated
11/17/2009
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