Provider Demographics
NPI:1770326985
Name:GEORGIA DNA PATERNITY SOLUTIONS LLC
Entity type:Organization
Organization Name:GEORGIA DNA PATERNITY SOLUTIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TIFFANY
Authorized Official - Middle Name:
Authorized Official - Last Name:MUHAMMAD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-268-1603
Mailing Address - Street 1:155 WESTRIDGE PKWY STE 225C7
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-3049
Mailing Address - Country:US
Mailing Address - Phone:770-258-6765
Mailing Address - Fax:678-348-7103
Practice Address - Street 1:155 WESTRIDGE PKWY STE 225
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-3052
Practice Address - Country:US
Practice Address - Phone:770-258-6765
Practice Address - Fax:678-348-7103
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-15
Last Update Date:2024-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health