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Individual

ANNA LYDIA PURCELL LAHATTE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-1950
Mailing address
5670 PEACHTREE DUNWOODY RD STE 880, ATLANTA, GA 30342-4789
(706) 504-8078

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
363AM0700X
Medical Physician Assistant
GA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
04/24/2019
Last updated
10/11/2022
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