NPI 1417397662

Riesa John Greater Atlanta Urgent Care

Organisation Legal Medicine Jasper, GA

Practice location

Address: 91 Sammy McGhee Blvd Suite 101, Jasper, GA 30143-7703
Phone: (706) 253-3341
Fax: (706) 253-3361

Authorised official

Name: Ernest Amukamara
Title: Manager
Phone: (706) 253-3341

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence 29 (GA)

Other Legal Medicine providers in Georgia →

Registry record

NPI: 1417397662
Entity type: Organization
NPI issued: 2 Jul 2013
Record last updated: 2 Jul 2013

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.