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Organization
RT4LIFE
Active
Organization
RT4LIFE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LISA ANN MARIA RCP (PROVIDER)
(770) 598-2800
Entity
Organization
Contact information
Practice address
1660 FLAGSTONE LN, CONYERS, GA 30012-6509
(770) 598-2800
Mailing address
1660 FLAGSTONE LN, CONYERS, GA 30012-6509
(770) 598-2800
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
—
NULL
227800000X
Certified Respiratory Therapist
—
—
2278G1100X
General Care Certified Respiratory Therapist
Primary
—
NULL
2278H0200X
Home Health Certified Respiratory Therapist
—
NULL
2278H0200X
Home Health Certified Respiratory Therapist
—
—
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
NULL
2278P1004X
Pulmonary Diagnostics Certified Respiratory Therapist
—
—
261QS1200X
Sleep Disorder Diagnostic Clinic/Center
—
NULL
Other
Enumeration date
02/18/2025
Last updated
03/31/2025
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