Individual
MARIE PAULE KOFFI BOUAFFO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
(912) 350-8000
Mailing address
4700 WATERS AVE, SAVANNAH, GA 31404-6220
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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