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Individual

LINDSAY C GRAMER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PAAA

Contact information

Practice address
1365 CLIFTON RD NE, ATLANTA, GA 30322-1013
(404) 778-5000
Mailing address
5514 HIGHLAND PRESERVE DR, MABLETON, GA 30126-7619
(404) 694-2893

Taxonomy

Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
1443
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
32BBBWJ
MEDICARE GA
GA
05
683174749A
GA
Enumeration date
08/31/2006
Last updated
04/05/2012
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