Individual
CHARLOTTE LAWRENCE SALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2572 GRAND PRIX CT NE, ATLANTA, GA 30345-3927
(404) 273-5963
Mailing address
2572 GRAND PRIX CT NE, ATLANTA, GA 30345-3927
(404) 273-5963
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
11957
GA
Other
Enumeration date
10/30/2023
Last updated
10/30/2023
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