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DEEDGRA ALBERT CPT
Phlebotomy >> Technician, Pathology >> Technologists, Technicians & Other Technical Service ProvidersRegistrant NPI Number: 1770133936
Individual Registrant: DEEDGRA ALBERT CPT
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
4013 CREEK STATION LN STONE MOUNTAIN, GA 30083-7004 US
Tel: 404-246-9098 Fax: --
Tel: 404-246-9098 Fax: --
Contact information for business:
PO BOX 361134 DECATUR, GA 30036-1134 US
Tel: 404-246-9098 Fax: --
Tel: 404-246-9098 Fax: --
Registration Information:
NPI: 1770133936
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 246RP1900X | Technologists, Technicians & Other Technical Service Providers Technician, Pathology Phlebotomy | GA | 48107 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
