Individual
LIDYA PACHECO-CARPENTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3161 HOWELL MILL RD NW, SUITE 330, ATLANTA, GA 30327-2135
(404) 351-5812
Mailing address
3161 HOWELL MILL RD NW, SUITE 330, ATLANTA, GA 30327-2135
(404) 351-5812
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
MT007965
GA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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