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Kianna Tymoria Boone
Phlebotomy Technician in Fitzgerald, Georgia
NPI 1063036051

Kianna Tymoria Boone is a Phlebotomy Technician based in Fitzgerald, GA and is specialized in Phlebotomy. Kianna Tymoria Boone practices in Fitzgerald, GA. The NPI Number for Kianna Tymoria Boone is 1063036051 and holds a License No. 318-10178 (Georgia).

The current practice location address for Kianna Tymoria Boone is 608 S Lee St, Fitzgerald, GA and can be reached out via phone at 229-472-2246.

Location: 608 S Lee St, Fitzgerald, GA, 31750-3217
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1063036051
Provider Name
Kianna Tymoria Boone
Credential
Provider Entity Type
Individual
Gender
Female
Address
608 S Lee St, Fitzgerald, GA, 31750-3217
Phone Number
229-472-2246
Fax Number
Provider Enumeration Date
06/04/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
20070770 01 GA ARTICLE OF ORGANIZATION
institution
Provider Business Practice Location Address Details
Address
608 S Lee St
City
Fitzgerald
State
Georgia
Zip
31750-3217
Phone Number
229-472-2246
Fax Number
person
Provider Business Mailing Address Details
Address
608 S Lee St
City
Fitzgerald
State
Georgia
Zip
31750-3217
Phone Number
229-472-2246
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Phlebotomy
Taxonomy
246RP1900X
License No.
318-10178 (Georgia)
Definition
Definition to come...
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