Individual
CHARI LAKEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 CLIFTON RD NE, ATLANTA, GA 30322-3050
(404) 785-6000
Mailing address
1906 SUMMERBROOK DR # 1906, ATLANTA, GA 30350-3050
(678) 396-8881
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4181219944
—
GA
Enumeration date
04/07/2020
Last updated
04/07/2020
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