Organization
COLLECTION INTERVENTION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARCIE LYNN TANNER (OWNER/OFFICER)
(678) 465-9414
Entity
Organization
Contact information
Practice address
146 MARTIN LUTHER KING JR BLVD # 302, MONROE, GA 30655-5620
(678) 465-9414
(470) 200-3267
Mailing address
146 MARTIN LUTHER KING JR BLVD # 302, MONROE, GA 30655-5620
(678) 465-9414
(470) 200-3267
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
—
—
Other
Enumeration date
04/09/2017
Last updated
04/09/2017
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