Healthcare Provider Details

I. General information

NPI: 1699621276
Provider Name (Legal Business Name): FIRST CHOICE SCREENING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/06/2026
Last Update Date: 03/08/2026
Certification Date: 03/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

691 S 8TH ST STE B
GRIFFIN GA
30224-4244
US

IV. Provider business mailing address

691 S 8TH ST STE B
GRIFFIN GA
30224-4244
US

V. Phone/Fax

Practice location:
  • Phone: 770-828-8161
  • Fax:
Mailing address:
  • Phone: 770-828-8161
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: SHERLONDA L ENAGBARE
Title or Position: OWNER/DIRECTOR
Credential: N/A
Phone: 770-828-8161