Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)

NPI #1760626279 in Decatur, Georgia

Provider Information

NPI Number: 1760626279
Entity Type: Individual
Name: Alphonsus Maduwuba Agbaere, MT(ASCP)CLS(NCA)
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Credential: MT(ASCP)CLS(NCA)
Enumeration Date: Apr 28, 2009
Last Updated: Apr 28, 2009

Practice Location

Address: 1670 CLAIRMONT RD
City: Decatur
State: Georgia
ZIP Code: 30033-4004
Phone: (404) 321-6111

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Pathology - Medical Laboratory — Medical Laboratory	246RM2200X
Technician, Pathology - Clinical Laboratory Director, Non-physician — Clinical Laboratory Director, Non-physician	247ZC0005X	Primary

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