Individual
KEVIN CORDALE EAFORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CPT
Contact information
Practice address
164 N OLD RIVER RD, BLAKELY, GA 39823-5337
(229) 308-6839
(866) 598-3337
Mailing address
PO BOX 1976, MABLETON, GA 30126-1016
(229) 308-6839
(866) 598-3337
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
M5N8Z5B6
GA
Other
Enumeration date
05/21/2022
Last updated
05/21/2022
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