NPI 1093255192

Lousy Endings

Organisation Other Technician Marietta, GA

Practice location

Address: 3911 Mary Eliza Trce NW STE 250, Marietta, GA 30064-1086
Phone: (678) 343-3932

Authorised official

Name: Kaila Johnson
Title: Clinic Manager
Phone: (770) 990-4684

Registered specialties

Other Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 247200000X

Other Technician, Other providers in Georgia →

Registry record

NPI: 1093255192
Entity type: Organization
NPI issued: 8 Mar 2017
Record last updated: 8 Mar 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.