Individual
LISA MEDLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(706) 340-3692
Mailing address
2315 TUXEDO DR SE, MARIETTA, GA 30067-7137
(706) 340-3692
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
RN116931
GA
Other
Enumeration date
09/25/2025
Last updated
09/25/2025
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