Individual
NATASHA TAMIA GOLDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
305 SLAYTON ST, VIDALIA, GA 30474-4327
(912) 537-7772
Mailing address
305 SLAYTON ST, VIDALIA, GA 30474-4327
(312) 537-7772
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
—
—
247200000X
Other Technician
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
09/24/2021
Last updated
09/24/2021
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