Organization
CORDINAT MEDICAL STAFFING AND CONSULTING
Active
Other names
Cordinat Medical Consulting
Organization subpart
No
Provider details
NPI number
Authorized official
DETRESE REJANET BOWEN (OWNER)
(470) 242-5823
Entity
Organization
Contact information
Practice address
1475 BUFORD DR, SUTIE 403-154, LAWRENCEVILLE, GA 30043-3798
(470) 242-5823
Mailing address
1475 BUFORD DR, SUTIE 403-154, LAWRENCEVILLE, GA 30043-3798
(470) 242-5823
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
2015015535
GA
Other
Enumeration date
09/21/2015
Last updated
09/21/2015
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