11D2107025 CLIA NUMBER - HEALTH CHOICE- HAMILTON MILL

Laboratory Demographics

CLIA Number: 11D2107025

Facility Name: HEALTH CHOICE- HAMILTON MILL

Facility Address:
2690 HAMILTON MILL RD, SUITE 100
BUFORD, GA
ZIP 30519
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Facility Phone Number: 615 656-2750

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1114086477

Taxonomy: 1223G0001X - Dentist
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

CLIA Record

Field Name	Field Value
CLIA Number	11D2107025
LAB Type	Physician Office
Facility Name	HEALTH CHOICE- HAMILTON MILL
Street	2690 HAMILTON MILL RD, SUITE 100
City	BUFORD
State	GA
ZIP	30519
Phone	615 656-2750
CertificateType	4
CertificateEffectiveDate	1/5/2024
CertificateExpirationDate	1/4/2026
FacilityType	Waiver

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