Individual
MRS. LISA ASHIYA MITCHELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 727-5019
(404) 712-4112
Mailing address
2015 UPPERGATE DR NE, ATLANTA, GA 30322-1015
(404) 727-5019
(404) 712-4112
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
LPN066314
GA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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