Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Alphonsus Maduwuba Agbaere, MTASCPCLSNCA

Individual provider Medical Laboratory Technician · NPI 1760626279

Alphonsus Maduwuba Agbaere, MTASCPCLSNCA is a Medical Laboratory Technician in Decatur, Georgia. Licensed in Georgia. Registered with an NPI since 2009.

Licensed in
GA
In the registry since
2009
Specialties on file
2

Practice location Address checks out

1670 Clairmont Rd
Decatur, GA 30033-4004
Phone: (404) 321-6111
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Laboratory Director (Non-physician) (primary) Taxonomy 247ZC0005X · Licence 163311 (GA)
Medical Laboratory Technician Taxonomy 246RM2200X · Licence 163311 (GA)

Record details

NPI number1760626279
Entity typeIndividual (Type 1)
GenderMale
Credentials MTASCPCLSNCA
Sole proprietorNo
NPI enumeratedApril 28, 2009
Last updated in NPPESApril 28, 2009

Other providers in Decatur