Individual
SHERITA A MCQUEEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHLEBOTOMIST
Contact information
Practice address
706 ADAMS ST, VIDALIA, GA 30474-4917
(404) 940-4611
Mailing address
706 ADAMS ST, VIDALIA, GA 30474-4917
(404) 940-4611
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
20-1022Y11
GA
Other
Enumeration date
10/13/2023
Last updated
02/06/2024
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