REVONIA LYNN (NPI# 1972101913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972101913 |
| Entity Type | Individual |
| Full Name | REVONIA LYNN |
| Credential | PT |
| Practice Address |
4630 Rolling Brook Ct Union City GA 30291-6524 |
| Practice Telephone | 6785074926 |
| Mailing Telephone | 6785074926 |
| Enumeration Date | 2020-10-12 |
| Last Update Date | 2020-10-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 246RP1900X |
Technician, Pathology Specialization: Phlebotomy |
GA | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
4630 ROLLING BROOK CT |
| City | UNION CITY |
| State | GA |
| Zip Code | 30291-6524 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
| 1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
| 1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
| 1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
| Find all providers in zip 30291 | ||||
| Taxonomy Code | 246RP1900X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Technician, Pathology |
| Specialization | Phlebotomy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619576485 | Angels Mobile Phlebotomy Services LLC | Technician, Pathology | 185 Kirby Ln, Athens, GA 30606-1683 | 2020-10-22 |
| 1164021101 | Marquetta Nolbert | Technician, Pathology | 665 Castlebrooke Way, Lawrenceville, GA 30045-2665 | 2020-10-21 |
| 1528666518 | Shmeika Wilcox | Technician, Pathology | 3608 Stone Rd Sw, Atlanta, GA 30331-5306 | 2020-10-13 |
| 1598362279 | Sheryl White | Technician, Pathology | 574 Scotland Dr, Dallas, GA 30132-2625 | 2020-10-06 |
| 1720685449 | Dominique Hyatt | Technician, Pathology | 1414 Ericas Pointe Dr, Winder, GA 30680-8006 | 2020-10-06 |
| 1922610799 | Mccane Labs LLC | Technician, Pathology | 1546a Rocky Creek Rd Ste A, Macon, GA 31206-3581 | 2020-08-21 |
| 1063036051 | Kianna Tymoria Boone | Technician, Pathology | 608 S Lee St, Fitzgerald, GA 31750-3217 | 2020-06-04 |
| 1568086031 | Antarnisear Brantley | Technician, Pathology | 311 Scott St Sw Apt 118, Atlanta, GA 30311-1814 | 2020-06-01 |
| 1568085330 | Monya Moreland | Technician, Pathology | 1008 Tree Terrace Pkwy, Austell, GA 30168-5544 | 2020-05-27 |
| 1528689767 | Avia Williams | Technician, Pathology | 1754 Arbor Gate Dr, Lawrenceville, GA 30044-8823 | 2020-04-28 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 30291 |
Please comment or provide details below to improve the information on REVONIA LYNN.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.