Healthcare Provider Details

I. General information

NPI: 1629989116
Provider Name (Legal Business Name): NURTURING ALLIANCE MOBILE PHLEBOTOMY AND LAB SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 OLDE GATE CT
POOLER GA
31322-8280
US

IV. Provider business mailing address

8 OLDE GATE CT
POOLER GA
31322-8280
US

V. Phone/Fax

Practice location:
  • Phone: 912-500-6767
  • Fax:
Mailing address:
  • Phone: 912-500-6767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code246RP1900X
TaxonomyPhlebotomy Technician
License Number
License Number State

VIII. Authorized Official

Name: DANIELLE ANDERSON
Title or Position: OWNER
Credential: CPT
Phone: 912-500-6767