Individual
LUCY KOHLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
550 PEACHTREE ST NE, ATLANTA, GA 30308-2212
(404) 686-4411
Mailing address
1445 LAVISTA RD NE, ATLANTA, GA 30324-3835
(912) 247-5440
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11072
GA
363A00000X
Physician Assistant
—
—
Other
Enumeration date
04/14/2022
Last updated
08/18/2022
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