Individual
MISS LISA MARIE SCHULTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
1000 CHASTAIN RD NW, MAILBOX 0201, KENNESAW, GA 30144-5588
(770) 423-6487
Mailing address
144 PONCE DE LEON AVE NE, APT. 1005, ATLANTA, GA 30308-4121
(803) 493-6475
Taxonomy
Speciality
Code
Description
License number
State
207RS0010X
Sports Medicine (Internal Medicine) Physician
Primary
AT001898
GA
Other
Enumeration date
02/07/2012
Last updated
02/07/2012
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