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Organization

NATIONAL HEALTHCARE CENTER LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AVERAL JOHNSON (OWNER)
(770) 318-0476
Entity
Organization

Contact information

Practice address
4228 1ST AVE STE 1, TUCKER, GA 30084-4426
(770) 318-0476
Mailing address
950 HERRINGTON RD # 64, LAWRENCEVILLE, GA 30044-7217
(770) 318-0476

Taxonomy

Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary

Other

Enumeration date
10/13/2023
Last updated
10/13/2023
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