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Individual

DR. ALECIA RENEE LOVELADY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1720 PHOENIX BLVD, SUITE 700, COLLEGE PARK, GA 30349-5594
(404) 446-4792
(404) 446-4793
Mailing address
925 TANNER WAY, ATLANTA, GA 30349-7917
(678) 517-2192

Taxonomy

Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
050405
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000918497
GA
Enumeration date
05/16/2006
Last updated
07/08/2007
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