Individual provider · Type 1 NPI

Alexis Forte'-Tatum

Phlebotomy Technician · Powder Springs, GA

NPI number 1356260780 Active

Practice location

3056 New Macland Rd
Powder Springs, GA 30127-1737

Fax (678) 881-4111

Specialties and licenses

TaxonomyCodeLicense
Gerontology Registered Nurse 163WG0600XRN169974 (GA)
School Registered Nurse 163WS0200XRN169974 (GA)
Licensed Practical Nurse 164W00000XLPN080083 (GA)
Health Educator 174H00000XRN169974 (GA)
In Home Supportive Care Agency 253Z00000XRN169974 (GA)
Student in an Organized Health Care Education/Training Program 390200000XLPN080083 (GA)
Phlebotomy Technician Primary 246RP1900XLPN080083 (GA)

Phlebotomy Technician: Definition to come...

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About NPI 1356260780

Alexis Forte'-Tatum's National Provider Identifier is 1356260780, issued on Jul 10, 2026. The primary taxonomy on file is Phlebotomy Technician (246RP1900X), and the practice location is in Powder Springs, GA. The record was last updated on Jul 10, 2026.