Individual
MRS. LISA MICHELLE BARTELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BACHELOR
Contact information
Practice address
1920 JOHN WESLEY AVE., COLLEGE PARK, GA 30337-3606
(404) 765-4166
(404) 765-4149
Mailing address
171 MARY HILL LN, DOUGLASVILLE, GA 30134-4625
(404) 765-4163
(404) 765-4149
Taxonomy
Speciality
Code
Description
License number
State
133N00000X
Nutritionist
Primary
133NOOOOOX
GA
Other
Enumeration date
05/10/2007
Last updated
07/08/2007
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