Pmr Georgia Holding, LLC

NPI #1033999297 in Riverdale, Georgia

Provider Information

NPI Number
1033999297
Entity Type
Organization
Organization Name
Pmr Georgia Holding, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
PMR GEORGIA HOLDING, LLC
Primary Specialty
Non-Pharmacy Dispensing Site
Enumeration Date
Oct 4, 2023
Last Updated
Oct 4, 2023

Practice Location

Address
690 HIGHWAY 138 SW
State
Georgia
ZIP Code
30274-3965
Phone
(678) 855-6344

Authorized Official

Name
MARY CHEN
Title
AUTHORIZED OFFICIAL
Phone
(305) 628-6117

Specialties & Taxonomy Codes

Specialty
Non-Pharmacy Dispensing Site

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