| Organization Name: | BLESSED HANDS PHLEBOTOMY |
| NPI Number: | 1043629330 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHENNETHA EPHRIAM (PHLEBOTOMIST) |
| Mailing Address: | 3809 Crusader Dr Hope Mills |
| State: | NC US |
| Postal Code: | 283489003 |
| Phone Number: | 9105515664 |
| Fax Number: | |
| NPI Enumeration Date: | 08/12/2014 |
| NPI Last Update Date: | 08/13/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 246RP1900X |
| License Number: | 630331140001 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Technologists, Technicians & Other Technical Service Providers |
| Taxonomy Classification: | Technician, Pathology |
| Taxonomy Specialization: | Phlebotomy |
| Taxonomy Definition: | |