MEDICARE: PRECISE TOXICOLOGY SOLUTIONS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QC1500X	Community Health Clinic/Center

General Provider Information

NPI Number	:	1689520686
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRECISE TOXICOLOGY SOLUTIONS

Provider Business Mailing Address
First Line	:	6572 RIVER PARK DR
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2214
Country	:	US
Telephone Number	:	470-656-2831
Fax Number	:	404-537-6763

Provider Business Practice Location Address
First Line	:	6572 RIVER PARK DR
Second Line	:
City	:	RIVERDALE
State	:	GA
Zip	:	30274-2214
Country	:	US
Telephone Number	:	470-656-2831
Fax Number	:	404-537-6763

Authorized Official
Title or Position	:	FOUNDER
Name	:	COWOODREL JONES
Credential	:
Telephone Number	:	470-656-2831

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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