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Atlanta Hiv Consultants

Pathology, Clinical Laboratory Director, Non-physician in Conyers, GA. Organization (NPI-2).

NPI number1932820719
StatusActive
Last updated in NPPESOct 2, 2024

Details

NPI
1932820719
Entity type
Organization (NPI-2)
Legal business name
Atlanta Hiv Consultants
Organization subpart
No
Enumeration date
Sep 8, 2022
Certification date
Oct 2, 2024
Last updated
Oct 2, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
247ZC0005X Pathology, Clinical Laboratory Director, Non-physician––Yes

Practice location

1000 Iris Dr Sw Ste E9
Conyers, GA 30094-6632

Phone 833-448-4636 · Fax 833-448-4636

Mailing address

1000 Iris Dr Sw Ste E9
Conyers, GA 30094-6632

Phone 833-448-4636

Authorized official

Casandra M. Kidd
Cfo
4047917201

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