Provider Demographics
NPI:1568101640
Name:HARVEY, MAKIA (CEO, PHLEBOTOMIST)
Entity Type:Individual
Prefix:
First Name:MAKIA
Middle Name:
Last Name:HARVEY
Suffix:
Gender:F
Credentials:CEO, PHLEBOTOMIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 UNIVERSITY PL APT A
Mailing Address - Street 2:
Mailing Address - City:STATESBORO
Mailing Address - State:GA
Mailing Address - Zip Code:30458-4933
Mailing Address - Country:US
Mailing Address - Phone:912-421-8727
Mailing Address - Fax:
Practice Address - Street 1:19 UNIVERSITY PL APT A
Practice Address - Street 2:
Practice Address - City:STATESBORO
Practice Address - State:GA
Practice Address - Zip Code:30458-4933
Practice Address - Country:US
Practice Address - Phone:912-421-8727
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-27
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes246RP1900XTechnologists, Technicians & Other Technical Service ProvidersTechnician, PathologyPhlebotomy