Organization
ELITE MOBILE PHLEBOTOMIST OF GEORGIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA S COOPER CMA/PHLEBOTOMIST (OWNER)
(067) 340-9566
Entity
Organization
Contact information
Practice address
4600 FARMINGTON RD, WATKINSVILLE, GA 30677-4374
(706) 340-9566
Mailing address
4600 FARMINGTON RD, WATKINSVILLE, GA 30677-4374
(706) 340-9566
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
12/03/2021
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