ALPHONSUS MADUWUBA AGBAERE

DECATUR, GA
NPI1760626279
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy247ZC0005X Pathology, Clinical Laboratory Director, Non-physician
(Licence: GA  163311)
Additional Taxonomies246RM2200X Technician, Pathology, Medical Laboratory
(Licence: GA  163311)
Enumeration Date2009-04-28
Last Update Date2009-04-28
Business Address
-- ALPHONSUS MADUWUBA AGBAERE MT(ASCP)CLS(NCA)
1670 CLAIRMONT RD
DECATUR, GA 30033-4004
Phone number: 404-321-6111
Mailing Address
-- ALPHONSUS MADUWUBA AGBAERE MT(ASCP)CLS(NCA)
2222 COLUMBIA DR
DECATUR, GA 30032-7206
Phone number: 404-286-2838