Individual
TAMARA LYNETTE TAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
1300 S LEA CT SE APT B, SMYRNA, GA 30080-1700
(678) 793-3438
Mailing address
1300 S LEA CT SE APT B, SMYRNA, GA 30080-1700
(678) 793-3438
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
47586-PT18
GA
Other
Enumeration date
04/05/2019
Last updated
04/05/2019
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