Organization
DIVINE MOBILE PHLEBOTOMY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LISA RUFUS RPT (CHIEF EXECUTIVE OFFICER)
(803) 305-2177
Entity
Organization
Contact information
Practice address
2675 MAIDENHAIR LN, SUMTER, SC 29153-9521
(803) 305-2177
Mailing address
2675 MAIDENHAIR LN, SUMTER, SC 29153-9521
(803) 305-2177
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
03/11/2022
Last updated
03/11/2022
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