NPI 1609595859

Juniper Fedor

Practitioner Pathology Specialist/Technologist Decatur, GA

Practice location

Address: 2701 N Decatur Rd, Decatur, GA 30033-5918
Phone: (734) 263-6283
Mailing address: 304 S Howard St SE, Atlanta, GA 30317-2414

Registered specialties

Pathology Specialist/Technologist Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246Q00000X

Other Specialist/Technologist, Pathology providers in Georgia →

Registry record

NPI: 1609595859
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2022
Record last updated: 23 Aug 2022

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.