Individual
ALPHONSUS MADUWUBA AGBAERE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MT(ASCP)CLS(NCA)
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
2222 COLUMBIA DR, DECATUR, GA 30032-7206
(404) 286-2838
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
163311
GA
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
163311
GA
Other
Enumeration date
04/28/2009
Last updated
04/28/2009
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