TOXICOLOGY ASSOCIATES OF NORTH GEORGIA INC. NPI 1487985719

NPI Information

TOXICOLOGY ASSOCIATES OF NORTH GEORGIA, INC. is a methadone clinic center in Marietta, 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, INC. NPI is 1487985719. The provider is registered as an organization entity type.

The provider's business location address is:

1700 CUMBERLAND POINT DR SE
SUITE 1
MARIETTA, GA
ZIP 30067-202
Phone: (770) 612-8264
Fax: (770) 612-0716

The provider's authorized official is Carolyn Keelaghan .
The authorized official title is Program Sponsor and has the following contact phone number (770) 612-8264.

The CLIA number assigned to this NPI record is 11D1062429 - practitioner other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2010 and was last updated on 1/27/2010.

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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