It'S A Draw
Clinical Medical Laboratory in Snellville, GA. Organization (NPI-2).
NPI number1114698040
StatusActive
Last updated in NPPESFeb 25, 2022
Details
- NPI
- 1114698040
- Entity type
- Organization (NPI-2)
- Legal business name
- It'S A Draw
- Organization subpart
- No
- Enumeration date
- Sep 21, 2021
- Certification date
- Feb 25, 2022
- Last updated
- Feb 25, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
| 363LP2300X | Nurse Practitioner, Primary Care | – | – |
Practice location
1970 Main St E Ste B3Snellville, GA 30078-6463
Phone 470-467-4680
Mailing address
1970 Main St E Ste B3Snellville, GA 30078-6463
Phone 470-467-4680
Authorized official
Sharonda Forte
Ceo
2709871338
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