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NPI Code Detail

MEDICARE: VICKIE MINTER PHELBOTOMIST

MEDICARE:   VICKIE  MINTER  PHELBOTOMIST
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 TechnicianNC

General Provider Information

NPI Number : 1508246802
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKIE MINTER PHELBOTOMIST
Provider Business Mailing Address
First Line : 789 ROSSER RD
Second Line :
City : BEAR CREEK
State : NC
Zip : 27207-9667
Country : US
Telephone Number : 919-218-5603
Fax Number :
Provider Business Practice Location Address
First Line : 789 ROSSER RD
Second Line :
City : BEAR CREEK
State : NC
Zip : 27207-9667
Country : US
Telephone Number : 919-218-5603
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2015
Last Update Date : 06/02/2015

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Directions to “ VICKIE MINTER PHELBOTOMIST” Practice Location

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