Individual provider · Type 1 NPI
Miecha Y. Willis
Clinical Laboratory Director (Non-physician) · Fayetteville, GA
Practice location
1487 Highway 92 N
Fayetteville, GA 30214-3323
Mailing address
1415 Highway 85 N # 310-178
Fayetteville, GA 30214-7738
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Laboratory Director (Non-physician) Primary | 247ZC0005X | None 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.
About NPI 1801662234
Miecha Y. Willis's National Provider Identifier is 1801662234, issued on Nov 27, 2023. The primary taxonomy on file is Clinical Laboratory Director (Non-physician) (247ZC0005X), and the practice location is in Fayetteville, GA. The record was last updated on Nov 27, 2023.