Organization
TRANS ALLIANCE LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHINWE BIBI NWABUDE (PHARMACIST)
(404) 699-9000
Entity
Organization
Contact information
Practice address
3050 MARTIN LUTHER KING JR DR SW STE H, ATLANTA, GA 30311-1500
(404) 699-9000
(404) 699-9111
Mailing address
PO BOX 767757, ROSWELL, GA 30076-7757
(404) 699-9000
(404) 699-9111
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
PHRE008987
GA
Other
Enumeration date
08/18/2006
Last updated
08/22/2020
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