| NPI | 1619576485 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA THOMAS Phleboto MIS T / Owner 706-614-5417 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246RP1900X Technician, Pathology Phlebotomy |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2020-10-22 |