Gm South, LLC

NPI #1912387762 in Saint Louis, Missouri

Provider Information

NPI Number
1912387762
Entity Type
Organization
Organization Name
Gm South, LLC
Primary Specialty
Physiological Laboratory
Enumeration Date
Jun 8, 2015
Last Updated
Jun 8, 2015

Practice Location

Address
12152 TESSON FERRY RD
ZIP Code
63128-1726
Phone
(314) 270-4075

Authorized Official

Name
MISSY BAILEY
Title
BILLING MANAGER
Phone
(314) 628-1437

Specialties & Taxonomy Codes

Specialty
Physiological Laboratory

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