Individual provider · Type 1 NPI

Merveille N. Grant

Clinical Laboratory Director (Non-physician) · Macon, GA

NPI number 1669144499 Active

Practice location

600 Guy Paine Rd Bldg 102
Macon, GA 31206-2069

Mailing address

3123 Clairmont Ave
Macon, GA 31204-1005

Specialties and licenses

TaxonomyCodeLicense
Clinical Laboratory Director (Non-physician) Primary 247ZC0005XNone listed

Clinical Laboratory Director (Non-physician): An individual who is state-licensed as a clinical laboratory director and meets the qualifications in the Clinical Laboratory Improvement Amendments of 1988 for non-physicians (non-MD/DO) as defined in the CFR 42 Part 493.1405.

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About NPI 1669144499

Merveille N. Grant's National Provider Identifier is 1669144499, issued on Sep 30, 2021. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Macon, GA. The record was last updated on Oct 22, 2021.