Aceeba Healthcare
Clinic/Center in Mcdonough, GA. Organization (NPI-2).
NPI number1336890391
StatusActive
Last updated in NPPESFeb 3, 2022
Details
- NPI
- 1336890391
- Entity type
- Organization (NPI-2)
- Legal business name
- Aceeba Healthcare
- Organization subpart
- No
- Enumeration date
- Jan 11, 2022
- Certification date
- Feb 3, 2022
- Last updated
- Feb 3, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
| 291U00000X | Clinical Medical Laboratory | – | – |
Practice location
1006 Arbor WayMcdonough, GA 30253-8715
Phone 678-365-1611
Mailing address
100 Postmaster Dr Unit 2423Mcdonough, GA 30253-2821
Phone 678-365-1611
Authorized official
Natasha Carswell Kelly
Owner
6783651611
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