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NPI Code Detail

MEDICARE: CORY BYNUM CERTIFIED PHLEBOTOM

MEDICARE: CORY BYNUM CERTIFIED PHLEBOTOM
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
1246RP1900XPhlebotomy Technician

General Provider Information

NPI Number : 1427840388
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORY BYNUM CERTIFIED PHLEBOTOM
Provider Business Mailing Address
First Line : 701 GREEN VALLEY RD STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7096
Country : US
Telephone Number : 336-862-4605
Fax Number :
Provider Business Practice Location Address
First Line : 701 GREEN VALLEY RD STE 100
Second Line :
City : GREENSBORO
State : NC
Zip : 27408-7096
Country : US
Telephone Number : 336-862-4605
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/19/2025
Last Update Date : 05/19/2025

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Directions to “ CORY BYNUM CERTIFIED PHLEBOTOM” Practice Location

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