Organization
VIROLOGIX LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JASON HOLMES MD (OWNER)
(404) 850-0653
Entity
Organization
Contact information
Practice address
320 W LANIER AVE, FAYETTEVILLE, GA 30214-1600
(404) 850-0653
Mailing address
320 W LANIER AVE, FAYETTEVILLE, GA 30214-1600
(404) 850-0653
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Enumeration date
10/19/2021
Last updated
10/19/2021
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