Agbaere, Alphonsus Maduwuba

Agbaere, Alphonsus Maduwuba is an individual health care provider with primary practice located at 1670 Clairmont Rd , Decatur GA 30033-4004. He recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician. Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician is his primary health care specialty. Agbaere, Alphonsus Maduwuba can be contacted via phone (404) 321-6111.

Contact Information

Primary practice address
1670 Clairmont Rd Decatur GA 30033-4004
Phone: (404) 321-6111
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X 163311 Georgia
Technologists, Technicians & Other Technical Service Providers / Clinical Laboratory Director, Non-physician 247ZC0005X 163311 Georgia

Profile Details

NPI number 1760626279
LBN Legal business name Agbaere, Alphonsus Maduwuba
Credentials MT(ASCP)CLS(NCA)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2009
Last updated Apr 28th, 2009 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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