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Contact Information

MOLD CLINICS OF AMERICA
6063 PEACHTREE PKWY
SUITE 203 B
NORCROSS, GA30092-3303
 Phone: 770-840-7121
 Fax: 770-209-9302
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical & Laboratory Immunology

207RI0001X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for MOLD CLINICS OF AMERICA

NPI # 1942477989
LBN Legal business name MOLD CLINICS OF AMERICA
Authorized official LESLIE HUTCHINSON - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 05/09/2008
Last updated 05/09/2008 - About 18 years ago
Identifiers
GA License # MD123445
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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