Individual
JOHNESIA EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
388 POWELTON AVE, SPARTA, GA 31087-1546
(478) 363-5750
Mailing address
388 POWELTON AVE, SPARTA, GA 31087-1546
(478) 363-5750
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
B9H9Z6P8
GA
Other
Enumeration date
06/30/2022
Last updated
06/30/2022
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