Individual
LISA PIETRANGELO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
(770) 844-3200
Mailing address
1200 NORTHSIDE FORSYTH DR, CUMMING, GA 30041-7659
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
007245
GA
363AM0700X
Medical Physician Assistant
Primary
007245
GA
Other
Enumeration date
07/25/2014
Last updated
02/09/2023
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