Organization
KAISER FOUNDATION HEALTH PLAN OF GEORGIA INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE FARMER (DIRECTOR OF LABORATORY SERVICES)
(404) 309-9314
Entity
Organization
Contact information
Practice address
1435 BROADMOOR BLVD, BUFORD, GA 30518-5408
(678) 765-5740
Mailing address
3495 PIEDMONT RD NE, ATLANTA, GA 30305-1773
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
11D1074981
GA
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/01/2008
Last updated
07/15/2021
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