Healthcare Provider Details

I. General information

NPI: 1578426177
Provider Name (Legal Business Name): GENTLE TOUCH MOBILE PHLEBOTOMY05
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8022 ROCKBRIDGE RD
LITHONIA GA
30058-5882
US

IV. Provider business mailing address

860 STONEBROOK DR
LITHONIA GA
30058-9042
US

V. Phone/Fax

Practice location:
  • Phone: 678-485-9784
  • Fax:
Mailing address:
  • Phone: 678-485-9784
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State

VIII. Authorized Official

Name: FRANCES S CRAIG
Title or Position: OWNER/CEO
Credential:
Phone: 678-485-9784