11D2275893 CLIA NUMBER - TRUE CARE PHYSICIANS

Laboratory Demographics

CLIA Number: 11D2275893

Facility Name: TRUE CARE PHYSICIANS

Facility Address:
1324 ROCKBRIDGE ROAD
STONE MOUNTAIN, GA
ZIP 30087
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Facility Phone Number: 470 835-1245

Facility Type: Physician Office

Certificate Type: Waiver

NPI Number: 1164095626

Taxonomy: 208D00000X - General Practice
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

CLIA Record

Field Name	Field Value
CLIA Number	11D2275893
LAB Type	Physician Office
Facility Name	TRUE CARE PHYSICIANS
Street	1324 ROCKBRIDGE ROAD
City	STONE MOUNTAIN
State	GA
ZIP	30087
Phone	470 835-1245
CertificateType	4
CertificateEffectiveDate	1/31/2023
CertificateExpirationDate	1/30/2025
FacilityType	Waiver

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