Individual
KEMIYA HARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
777 HEMLOCK ST, MACON, GA 31201-2102
(478) 633-1000
Mailing address
5558 BACON AVE, EASTMAN, GA 31023-6908
(147) 895-4584
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
11/16/2021
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