Organization
MOLD CLINICS OF AMERICA
Active
Other names
MoldTC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LESLIE HUTCHINSON MD (DIRECTOR)
(770) 840-7121
Entity
Organization
Contact information
Practice address
6063 PEACHTREE PKWY, SUITE 203 B, NORCROSS, GA 30092-3303
(770) 840-7121
(770) 209-9302
Mailing address
6063 PEACHTREE PKWY, SUITE 203 B, NORCROSS, GA 30092-3303
(770) 840-7121
(770) 209-9302
Taxonomy
Speciality
Code
Description
License number
State
207RI0001X
Clinical & Laboratory Immunology (Internal Medicine) Physician
Primary
MD123445
GA
Other
Enumeration date
05/09/2008
Last updated
05/09/2008
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