# RT4LIFE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073318531
- **Authorized official:** LISA ANN MARIA RCP (PROVIDER)
- **Authorized official phone:** (770) 598-2800

## Contact information

- **Practice address:** 1660 FLAGSTONE LN, CONYERS, GA 30012-6509
- **Practice address phone:** (770) 598-2800
- **Mailing address:** 1660 FLAGSTONE LN, CONYERS, GA 30012-6509
- **Mailing address phone:** (770) 598-2800

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 227800000X | Certified Respiratory Therapist | — | NULL | — |
| 227800000X | Certified Respiratory Therapist | — | — | — |
| 2278G1100X | General Care Certified Respiratory Therapist | — | NULL | Yes |
| 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