Individual provider · NPI-1
Carmelita Dennis Blount
Spec/Tech, Pathology, Laboratory Management, Diplomate · Locust Grove, GA
NPI number1003720723
StatusActive
Last updated in NPPESSep 30, 2026
Details
- NPI
- 1003720723
- Entity type
- Individual (NPI-1)
- Name
- Carmelita Dennis Blount
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 30, 2026
- Certification date
- Sep 30, 2026
- Last updated
- Sep 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 246QL0901X | Spec/Tech, Pathology, Laboratory Management, Diplomate | – | – | Yes |
Practice location
9042 Holder RdLocust Grove, GA 30248-4608
Phone 770-883-9413
Mailing address
9042 Holder RdLocust Grove, GA 30248-4608
Phone 770-883-9413
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