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11D0950466 CLIA NUMBER - VALUE IN PREVENTION OF GEORGIA ROSWELL LLC

Laboratory Demographics

CLIA Number: 11D0950466

Facility Name: VALUE IN PREVENTION OF GEORGIA ROSWELL LLC

Facility Address:
1265 UPPER HEMBREE RD STE 200
ROSWELL, GA
ZIP 30076
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Facility Phone Number: 770 442-9982

Facility Type: Physician Office

Certificate Type: Waiver
NPI Number: 1265539647

Taxonomy: 207R00000X - Internal Medicine
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

CLIA Record

Field Name Field Value
CLIA Number 11D0950466
LAB Type Physician Office
Facility Name VALUE IN PREVENTION OF GEORGIA ROSWELL LLC
Street 1265 UPPER HEMBREE RD STE 200
City ROSWELL
State GA
ZIP 30076
Phone 770 442-9982
CertificateType 4
CertificateEffectiveDate 7/1/2023
CertificateExpirationDate 6/30/2025
FacilityType Waiver

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This page was last updated on: 4/23/2024