FERNANDA BODDEN


Address: 107 Chief Ct, Rockmart, GA 30153-8017
Phone: 9084991339

FERNANDA BODDEN (NPI# 1629401971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629401971
Entity Type Individual
Full Name FERNANDA BODDEN
Practice Address 107 Chief Ct
Rockmart
GA 30153-8017
Practice Telephone 9084991339
Mailing Telephone 9084991339
Enumeration Date 2013-08-09
Last Update Date 2013-08-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 246RP1900X Technician, Pathology
Specialization: Phlebotomy
15030 GA Technologists, Technicians & Other Technical Service Providers

Office Location

Street Address 107 CHIEF CT
City ROCKMART
State GA
Zip Code 30153-8017

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1457829566 Mandy Richardson Speech-Language Pathologist 140 Rhinehart Dr, Rockmart, GA 30153 2018-11-06
1225550619 Lamaria Michelle Green Case Manager/Care Coordinator 52 Prometheous Way, Rockmart, GA 30153 2017-07-07
1508164070 Julie Moss Carlton Pharmacist 802 Nathan Dean Bypass, Rockmart, GA 30153 2011-03-08
1437454667 At Peace Hospice Care, LLC Hospice Care, Community Based 1101 N Piedmont Ave, Suite C, Rockmart, GA 30153 2011-01-19
1699077701 Trulife Chiropractic and Wellness Center, LLC Clinic/Center 126 N. Piedmont Ave, Rockmart, GA 30153 2010-11-22
1891879995 Smith-lockwood, Inc. Pharmacy 114 S Marble Street, Rockm, Rockmart, GA 30153 2006-10-25
1427574698 Franklin Reeves Pharmacist 802 Nathan Dean Bypass, Rockmart, GA 30153 2017-08-18
1780063339 Emma Atherton-staples Family Medicine 1650 Chattahoochee Dr, Rockmart, GA 30153 2015-05-28
1396295788 Floyd Healthcare Management, Inc Non-Pharmacy Dispensing Site 479 Nathan Dean Byp, Rockmart, GA 30153-1650 2016-10-10
1255712063 Nursetrek Inc Home Health 826 W Elm St, #c, Rockmart, GA 30153-1727 2015-06-17
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Taxonomy Information

Taxonomy Code 246RP1900X
Grouping Technologists, Technicians & Other Technical Service Providers
Classification Technician, Pathology
Specialization Phlebotomy

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1619576485 Angels Mobile Phlebotomy Services LLC Technician, Pathology 185 Kirby Ln, Athens, GA 30606-1683 2020-10-22
1164021101 Marquetta Nolbert Technician, Pathology 665 Castlebrooke Way, Lawrenceville, GA 30045-2665 2020-10-21
1528666518 Shmeika Wilcox Technician, Pathology 3608 Stone Rd Sw, Atlanta, GA 30331-5306 2020-10-13
1972101913 Revonia Lynn Technician, Pathology 4630 Rolling Brook Ct, Union City, GA 30291-6524 2020-10-12
1598362279 Sheryl White Technician, Pathology 574 Scotland Dr, Dallas, GA 30132-2625 2020-10-06
1720685449 Dominique Hyatt Technician, Pathology 1414 Ericas Pointe Dr, Winder, GA 30680-8006 2020-10-06
1922610799 Mccane Labs LLC Technician, Pathology 1546a Rocky Creek Rd Ste A, Macon, GA 31206-3581 2020-08-21
1063036051 Kianna Tymoria Boone Technician, Pathology 608 S Lee St, Fitzgerald, GA 31750-3217 2020-06-04
1568086031 Antarnisear Brantley Technician, Pathology 311 Scott St Sw Apt 118, Atlanta, GA 30311-1814 2020-06-01
1568085330 Monya Moreland Technician, Pathology 1008 Tree Terrace Pkwy, Austell, GA 30168-5544 2020-05-27
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Competitor

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City ROCKMART
Zip Code 30153

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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