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

Kentrice Cunningham-London

Individual provider Phlebotomy Technician · NPI 1104409663

Kentrice Cunningham-London is an Undefined Non-Physician Type (Specify) in Snellville, Georgia. Qualified in 1997, 29 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
29
Licensed in
GA
In the registry since
2021

Practice location Address checks out

2341 Henry Clower Blvd Ste D
Snellville, GA 30078-7420
Phone: (470) 406-6994
Fax: (770) 680-5324
Show map & directions

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

Specialties & licences

Phlebotomy Technician (primary) Taxonomy 246RP1900X · Licence 216463 (GA)

Record details

NPI number1104409663
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 3, 2021
Last updated in NPPESNovember 6, 2025
Certification dateNovember 6, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUNDEFINED NON-PHYSICIAN TYPE (SPECIFY)
Medical schoolOTHER
Graduated 1997 (29 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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