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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. GREGORY WAYNE HALTOM, LSA

Active Sole Proprietor

MR. GREGORY WAYNE HALTOM, LSA is a Medical Laboratory Technician healthcare provider located in GALLATIN, Tennessee. NPI 1538489539 is currently active in the NPPES registry. Verify at CMS.

Medical Laboratory Technician · GALLATIN, TN

Registration Details

NPI Number
1538489539
Provider Type
Individual
Gender
Male
NPI Issued
Jun 2, 2010 (16.240178037322 yrs)
Last Updated
Jul 4, 2011
License
SA00211 (TX)
Sole Proprietor
Yes

Practice Information

Address
509 RYAN AVE
GALLATIN, TN, 370666621
Browse TN providers · Browse ZIP 37066
Phone
6152301714
Primary Specialty
Medical Laboratory Technician
246ZS0410X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.