Organization
PHLEBOTOTMY ON WHEELS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAJA WATFORD (OWNER)
(803) 464-0477
Entity
Organization
Contact information
Practice address
390 COUNTRY SPRINGS DR, SUMTER, SC 29150-8317
(803) 464-0477
Mailing address
390 COUNTRY SPRINGS DR, SUMTER, SC 29150-8317
(803) 464-0477
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
05/30/2023
Last updated
05/30/2023
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