Four Corners Testing
Clinic/Center in Atlanta, GA. Organization (NPI-2).
NPI number1710693734
StatusActive
Last updated in NPPESJan 24, 2023
Details
- NPI
- 1710693734
- Entity type
- Organization (NPI-2)
- Legal business name
- Four Corners Testing
- Organization subpart
- No
- Enumeration date
- Jan 24, 2023
- Certification date
- Jan 24, 2023
- Last updated
- Jan 24, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
3343 Peachtree Rd Ne Ste 145-2137Atlanta, GA 30326-1085
Phone 404-969-2779
Mailing address
3343 Peachtree Rd Ne Ste 145-2137Atlanta, GA 30326-1085
Authorized official
Bryan Jones
Principal
4049692779
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