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NPI Code Detail

MEDICARE: GENTLE TOUCH MOBILE PHLEBOTOMY05

MEDICARE: GENTLE TOUCH MOBILE PHLEBOTOMY05
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
1291U00000XClinical Medical Laboratory

General Provider Information

NPI Number : 1578426177
Entity Type Code : Organization
Provider Name (Legal Business Name) : GENTLE TOUCH MOBILE PHLEBOTOMY05
Provider Business Mailing Address
First Line : 860 STONEBROOK DR
Second Line :
City : LITHONIA
State : GA
Zip : 30058-9042
Country : US
Telephone Number : 678-485-9784
Fax Number :
Provider Business Practice Location Address
First Line : 8022 ROCKBRIDGE RD
Second Line :
City : LITHONIA
State : GA
Zip : 30058-5882
Country : US
Telephone Number : 678-485-9784
Fax Number :
Authorized Official
Title or Position : OWNER/CEO
Name : FRANCES S CRAIG
Credential :
Telephone Number : 678-485-9784
Provider Enumeration Date : 12/09/2025
Last Update Date : 12/09/2025

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Directions to “GENTLE TOUCH MOBILE PHLEBOTOMY05 ” Practice Location

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