Individual
LISA MATESEVAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., CCC-A
Contact information
Practice address
5455 MERIDIAN MARKS RD NE, SUITE 130, ATLANTA, GA 30342-1654
(404) 255-2033
(404) 252-1901
Mailing address
5455 MERIDIAN MARKS RD NE, SUITE 130, ATLANTA, GA 30342-1654
(404) 255-2033
(404) 252-1901
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
AUD003468
GA
Other
Enumeration date
05/11/2006
Last updated
07/08/2007
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