Individual
DENISE INGRAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2086 JODECO RD # 1284, MCDONOUGH, GA 30253-5220
(470) 715-4542
Mailing address
2086 JODECO RD # 1284, MCDONOUGH, GA 30253-5220
(470) 715-4542
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
L4Q4H2W4
GA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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