Organization
MOBILE COLLECTIVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TARA GRADDICK (PHLEBOTOMIST)
(864) 508-4597
Entity
Organization
Contact information
Practice address
126 PERRY LN, CENTRAL, SC 29630-9403
(864) 508-4597
Mailing address
126 PERRY LN, CENTRAL, SC 29630-9403
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
—
—
Other
Enumeration date
02/03/2021
Last updated
04/25/2025
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