Individual
TEQUELLA SHAUNTA ARKADIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CPT
Contact information
Practice address
3681 N DECATUR RD APT U2, DECATUR, GA 30032-1024
(866) 614-6930
(478) 239-5123
Mailing address
3133 MAPLE DR NE STE 240, ATLANTA, GA 30305-2509
(866) 614-6930
Taxonomy
Speciality
Code
Description
License number
State
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
11D2340581
GA
246RP1900X
Phlebotomy Technician
Primary
25-CPT392
GA
Other
Enumeration date
07/22/2025
Last updated
06/28/2026
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