Individual
NICHELLE LOFTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT-NHA
Contact information
Practice address
3755 MEMORIAL DR, SUITE C RM A, DECATUR, GA 30032
(404) 490-2815
Mailing address
2331 COLUMBIA WOODS CT, DECATUR, GA 30032-6724
(404) 490-2815
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
Z7P6G3W8
GA
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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