Individual
LISA ATKINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1350 S ZACK HINTON PKWY, SUITE C, MCDONOUGH, GA 30253-3361
(770) 898-5401
Mailing address
719 MIAMI CT, MCDONOUGH, GA 30252-4158
(770) 957-3811
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PTA002084
LICENSE #
GA
Enumeration date
08/30/2006
Last updated
07/08/2007
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