TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT INC. NPI 1033440805

NPI Information

TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC. is a methadone clinic center in Norcross, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, and replacement maintenance treatment services related to individuals with drug addiction. TOXICOLOGY ASSOCIATES OF NORTH GEORGIA GWINNETT, INC. NPI is 1033440805. The provider is registered as an organization entity type.

The provider's business location address is:

1895 BEAVER RIDGE CIR
SUITE N
NORCROSS, GA
ZIP 30071-840
Phone: (770) 248-1616
Fax: (770) 248-1618

The provider's authorized official is Carolyn Keelaghan .
The authorized official title is Program Sponsor and has the following contact phone number (770) 248-1616.

The CLIA number assigned to this NPI record is 11D1062430 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2010 and was last updated on 1/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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