Individual
MS. JULIE TERESA LOVELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1220 CAROLINE ST NE STE A-230, ATLANTA, GA 30307-2749
(678) 710-3980
Mailing address
747 RALPH MCGILL BLVD NE UNIT 1308, ATLANTA, GA 30312-1137
(727) 207-2787
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9705
GA
Other
Enumeration date
03/12/2020
Last updated
03/12/2020
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