Organization
GA DIAGNOSTICS SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA PERSAUD (OFFICE MANAGER)
(850) 537-9389
Entity
Organization
Contact information
Practice address
4850 COUNTY ROAD 10, SAMSON, AL 36477-8054
(850) 537-9389
(850) 537-9398
Mailing address
4850 COUNTY ROAD 10, SAMSON, AL 36477-8054
(850) 537-9389
(850) 537-9398
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
51519893
BLUE CROSS BLUE SHIELD
AL
Enumeration date
01/14/2007
Last updated
04/20/2008
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