MOBILE MINI CLINIC is a clinic center in Lawrenceville, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MOBILE MINI CLINIC NPI is 1194362699. The provider is registered as an organization entity type.
The provider's business location address is:
2225 PRICKLY PEAR WALK
LAWRENCEVILLE, GA
ZIP 30043-344
Phone: (470) 207-1866
The provider's authorized official is Taheerah Demby .
The authorized official title is Ceo and has the following contact phone number (470) 207-1866.
The CLIA number assigned to this NPI record is 11D2189954 - other - mobile clinic with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 12/3/2019 and was last updated on 7/13/2020.