Organization
NOMADX INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK LUCCHESI ARRT (OWNER)
(404) 372-5555
Entity
Organization
Contact information
Practice address
4 E WASHINGTON ST, STE B2-B4, NEWNAN, GA 30263-1933
(404) 826-9729
Mailing address
18 VANDERBILT POINTE WAY, NEWNAN, GA 30265-2307
(404) 826-9729
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
04/05/2017
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