NPI 1285816512
Medical Technologies
Practice location
- Address
- 1105 20th St E, Tifton, GA 31794-3668
- Phone
- (229) 386-4987
Authorised official
- Name
- Latonay W Tucker
- Title
- Practice Manager
- Phone
- (229) 386-4987
Registered specialties
Clinical Medical Laboratory
Primary
Registry record
- NPI
- 1285816512
- Entity type
- Organization
- NPI issued
- 28 Nov 2007
- Record last updated
- 28 Nov 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.