Toxicology Associates of North Georgia Gwinnett, Inc.

NPI #1033440805 in Norcross, Georgia

Provider Information

NPI Number
1033440805
Entity Type
Organization
Organization Name
Toxicology Associates of North Georgia Gwinnett, Inc.
Primary Specialty
Clinic/Center - Methadone
Enumeration Date
Jan 19, 2010
Last Updated
Jan 19, 2010

Practice Location

Address
1895 BEAVER RIDGE CIR
Address 2
SUITE N
State
Georgia
ZIP Code
30071-3840
Phone
(770) 248-1616

Authorized Official

Name
CAROLYN KEELAGHAN, J.D.
Title
PROGRAM SPONSOR
Phone
(770) 248-1616

Specialties & Taxonomy Codes

Specialty
Clinic/Center - MethadoneMethadone

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