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Miecha Y Willis
Clinical Laboratory Director (Non-physician) in Fayetteville, Georgia
NPI 1801662234

Miecha Y Willis is a Clinical Laboratory Director (Non-physician) based in Fayetteville, GA and is specialized in Clinical Laboratory Director, Non-physician. Miecha Y Willis practices in Fayetteville, GA. The NPI Number for Miecha Y Willis is 1801662234 and holds a License No. (Georgia).

The current practice location address for Miecha Y Willis is 1487 Highway 92 N, Fayetteville, GA and can be reached out via phone at 404-944-3031.

Location: 1487 Highway 92 N, Fayetteville, GA, 30214-7738
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1801662234
Provider Name
Miecha Y Willis
Credential
Provider Entity Type
Individual
Gender
Female
Address
1487 Highway 92 N, Fayetteville, GA, 30214-7738
Phone Number
404-944-3031
Fax Number
Provider Enumeration Date
11/27/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1487 Highway 92 N
City
Fayetteville
State
Georgia
Zip
30214-3323
Phone Number
404-944-3031
Fax Number
person
Provider Business Mailing Address Details
Address
1487 Highway 92 N
City
Fayetteville
State
Georgia
Zip
30214-3323
Phone Number
404-944-3031
Fax Number
person
Provider's Taxonomy Details 1
Type
Technologists, Technicians & Other Technical Service Providers
Classification
Technician, Pathology
Speciality
Clinical Laboratory Director, Non-physician
Taxonomy
247ZC0005X
License No.
()
Definition
An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.
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