TOXICOLOGY ASSOCIATES OF NORTH GEORGIA, INC.
Ambulatory Health at Cumberland Point Dr, Marietta, GA

License number
Georgia NTP000032
Category
Ambulatory Health
Type
Methadone
Owner
Name: CAROLYN KEELAGHAN JD
Title: PROGRAM SPONSOR
Phone: (770) 612-8264
Address
Address 2
1700 Cumberland Point Dr SE SUITE 1, Marietta, GA 30067
2221 Peachtree Rd NE #D-291, Atlanta, GA 30309
National Provider ID: 1487985719
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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TOXICOLOGY ASSOCIATES OF NORTH GEORGIA, INC

2221 Peachtree St, Atlanta, GA 30309

Registration:
Aug 6, 2001
State ID:
0135965
Business type:
Domestic Profit Corporation
CEOs:
C Carolyn Keelaghan (Secretary), 2221 Peachtree St #13, Atlanta, GA 30309 (Physical),J Desmond Keelaghan (CEO), 2221 Peachtree St #13, Atlanta, GA 30309 (Physical)
Agent:
Carolyn C. Keelaghan,2221 Peachtree St #D291, Atlanta, GA (Physical)

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