Destined for Greatness

NPI #1790493336 in Ripley, Tennessee

Provider Information

NPI Number: 1790493336
Entity Type: Organization
Organization Name: Destined for Greatness
Primary Specialty: Technician, Pathology - Clinical Laboratory Director, Non-physician
Enumeration Date: Nov 14, 2022
Last Updated: Nov 14, 2022

Practice Location

Address: 274 VOLZ AVE
City: Ripley
State: Tennessee
ZIP Code: 38063-2078
Phone: (731) 671-8273

Authorized Official

Name: LAKILI TREADWAY
Title: OWNER
Phone: (731) 671-8273

Specialties & Taxonomy Codes

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

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