NPI 1104409663

Kentrice Cunningham-London

Practitioner Phlebotomy Technician Snellville, GA

Practice location

Address: 2341 Henry Clower Blvd STE D, Snellville, GA 30078-7420
Phone: (470) 406-6994
Fax: (770) 680-5324
Mailing address: 3177 Misty View Trl, Lilburn, GA 30047-1832

Registered specialties

Phlebotomy Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246RP1900X Licence 216463 (GA)

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Registry record

NPI: 1104409663
Entity type: Individual
Sex (as registered): Female
NPI issued: 3 May 2021
Record last updated: 6 Nov 2025

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.