Individual
DR. LISA BARNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DDS
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
PO BOX 551048, ATLANTA, GA 30355-1048
(404) 321-6111
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
19026081
IL
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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