Organization
ONE STICK MEDICAL ACADEMY
Active
Organization
ONE STICK MEDICAL ACADEMY
Active
Other names
One Stick Lab Express
Organization subpart
No
Provider details
NPI number
Authorized official
DEMISHA LATRICE JOHNSON PHLEBOTMIST, PARMED (OWNER)
(912) 661-9261
Entity
Organization
Contact information
Practice address
101 BECKETT LN STE 505, FAYETTEVILLE, GA 30214-7160
(912) 661-9261
Mailing address
820 BETHSAIDA RD STE 101-46, RIVERDALE, GA 30274-2971
(912) 661-9261
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
06/15/2020
Last updated
06/15/2020
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