Individual
MS. LAWAN ROBERTA BARKLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
79 GLENEAGLES DR, FAYETTEVILLE, GA 30215-8033
(404) 314-1734
Mailing address
79 GLENEAGLES DR, FAYETTEVILLE, GA 30215-8033
(404) 314-1734
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
GA
Other
Enumeration date
12/13/2006
Last updated
07/08/2007
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