MEDICARE: MARKITA ANDERSON PHLEBOTOMIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	246Q00000X	Pathology Specialist/Technologist
2	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1063344505
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARKITA ANDERSON PHLEBOTOMIST

Provider Business Mailing Address
First Line	:	2151 CUMBERLAND PKWY SE APT 1228
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5082
Country	:	US
Telephone Number	:	404-985-4300
Fax Number	:

Provider Business Practice Location Address
First Line	:	1875 OLD ALABAMA RD STE 625
Second Line	:
City	:	ROSWELL
State	:	GA
Zip	:	30076-2264
Country	:	US
Telephone Number	:	404-985-4300
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/01/2026
Last Update Date	:	06/01/2026

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Directions to “ MARKITA ANDERSON PHLEBOTOMIST” Practice Location

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