KEVIN CORDALE EAFORD CPT
NPI 1265170138
Technician, Pathology - Phlebotomy in Blakely, GA
Active since May 21, 2022
About Kevin Cordale Eaford Cpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEVIN CORDALE EAFORD CPT (NPI 1265170138) is an individual phlebotomy provider in Blakely, Georgia, licensed in Georgia (M5N8Z5B6) and active in the NPI registry since May 2022.
NPPES Registry Identity
NPI1265170138
Entity TypeIndividualMale
Primary Taxonomy246RP1900X
Provider Legal NameKEVIN CORDALE EAFORDCredential: CPT
Location Address164 N OLD RIVER RDBlakely, GA 39823-5337
Mailing AddressPo Box 1976Mableton, GA 30126-1016 · (229) 308-6839 · Fax (866) 598-3337
Phone(229) 308-6839
Fax(866) 598-3337
Sole ProprietorYes
Enumeration DateMay 21, 2022
NPPES CertifiedMay 21, 2022
✔ NPI 1265170138 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyTechnician, Pathology · PhlebotomyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246RP1900X
License✔ Licensed in GA · M5N8Z5B6
164 N OLD RIVER RD, Blakely, GA 39823
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1265170138, enumerated as an "individual" on May 21, 2022.
The provider is located at 164 N OLD RIVER RD BLAKELY, GA 39823 and the phone number is (229) 308-6839.
Technician, Pathology with taxonomy code 246RP1900X and a focus in Phlebotomy.
