Organization
JM GROUP SERVICES CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE L MEDINA (CEO)
(678) 664-6492
Entity
Organization
Contact information
Practice address
2170 W POINT RD, SUITE 25, LAGRANGE, GA 30240-4007
(678) 664-6492
Mailing address
2170 W POINT RD, SUITE 25, LAGRANGE, GA 30240-4007
(678) 664-6492
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
02/15/2010
Last updated
02/15/2010
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