Organization
GIFTED HANDS PREMIUM MOBILE LAB SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DETORIA WHITNEY (EXECUTIVE DIRECTOR)
(910) 613-0378
Entity
Organization
Contact information
Practice address
300 HAMMOCK LN, RAEFORD, NC 28376-2738
(910) 613-0787
(910) 613-0379
Mailing address
300 HAMMOCK LN, RAEFORD, NC 28376-2738
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
246RP1900X
Phlebotomy Technician
—
—
291U00000X
Clinical Medical Laboratory
—
—
Other
Enumeration date
04/10/2024
Last updated
04/10/2024
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