Individual
JESUS CABALLERO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5 CONCOURSE PKWY STE 3000, ATLANTA, GA 30328-7106
(770) 901-7130
Mailing address
5 CONCOURSE PKWY STE 3000, ATLANTA, GA 30328-7106
(770) 901-7130
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
11D0551
GA
Other
Enumeration date
11/07/2022
Last updated
11/07/2022
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