Individual
MRS. LASONJA S REEVES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.-C
Contact information
Practice address
960 JOHNSON FERRY RD STE 500, ATLANTA, GA 30342-1630
(404) 257-0006
(404) 851-1316
Mailing address
960 JOHNSON FERRY RD, ATLANTA, GA 30342-1631
(404) 257-0006
(404) 851-1316
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1833
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
203759151
TAX ID OF GROUP
GA
Enumeration date
01/07/2009
Last updated
04/06/2023
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