Individual
LOVEL PHADAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RCP
Contact information
Practice address
1109 GREEN ST, ROSWELL, GA 30075-3609
(770) 998-1802
Mailing address
2035 MULBERRY LN, LITHONIA, GA 30058-6791
(404) 452-9872
Taxonomy
Speciality
Code
Description
License number
State
227800000X
Certified Respiratory Therapist
Primary
6569
GA
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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