Individual
LISA ANN MARIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RCP
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
2278E1000X
Educational Certified Respiratory Therapist
—
—
2278G1100X
General Care Certified Respiratory Therapist
Primary
—
—
Other
Enumeration date
01/16/2025
Last updated
03/31/2025
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