FERNANDA BODDEN (NPI# 1629401971) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
15030 | GA | Technologists, Technicians & Other Technical Service Providers |
Street Address |
107 CHIEF CT |
City | ROCKMART |
State | GA |
Zip Code | 30153-8017 |
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 |
Find all providers in zip 30153 |
Taxonomy Code | 246RP1900X |
Grouping | Technologists, Technicians & Other Technical Service Providers |
Classification | Technician, Pathology |
Specialization | Phlebotomy |
Definition to come... |
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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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.