Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TILLMAN BLAKE HARDIGREE, CST
Active Sole ProprietorTILLMAN BLAKE HARDIGREE, CST is a Medical Laboratory Technician healthcare provider located in DULUTH, Georgia. NPI 1700227246 is currently active in the NPPES registry. Verify at CMS.
Medical Laboratory Technician · DULUTH, GA
Registration Details
- NPI Number
- 1700227246
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 12, 2013 (13.046853770512 yrs)
- Last Updated
- Jul 12, 2013
- License
-
078608 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
3855 PLEASANT HILL RD STE 470DULUTH, GA, 300961417Browse GA providers · Browse ZIP 30096
- Phone
- 7708138888
- 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.