Kaiser Foundation Health Plan of Georgia Inc.

NPI #1104089739 in Tucker, Georgia

Provider Information

NPI Number
1104089739
Entity Type
Organization
Organization Name
Kaiser Foundation Health Plan of Georgia Inc.
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 3, 2008
Last Updated
Jul 15, 2021

Practice Location

Address
200 CRESCENT CENTER PKWY
City
Tucker
State
Georgia
ZIP Code
30084-7047
Phone
(770) 496-3515

Authorized Official

Name
KATHERINE FARMER
Title
DIRECTOR OF LABORATORY SERVICES
Phone
(404) 309-9314

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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