Organization
MEDICAL TESTING LABORATORIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HARRY JOHN MD (MEDICAL DIRECTER)
(770) 696-4965
Entity
Organization
Contact information
Practice address
11205 ALPHARETTA HWY, G2, ROSWELL, GA 30076-5610
(770) 696-4965
Mailing address
11205 ALPHARETTA HWY, G2, ROSWELL, GA 30076-5610
(770) 696-4965
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
GA
Other
Enumeration date
03/12/2013
Last updated
03/12/2013
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