Individual
MRS. LACY O'SHEA O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
101 RIVERSTONE VIS STE 102, BLUE RIDGE, GA 30513-6630
(706) 258-4140
(706) 258-4141
Mailing address
1835 SAVOY DR STE 300, ATLANTA, GA 30341-1071
(678) 288-9555
(678) 288-9556
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
GAA-NP000987
GA
Other
Enumeration date
09/20/2022
Last updated
03/22/2024
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