Individual
LISA HARRIET ELMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3790 ASHFORD DUNWOODY RD NE, ATLANTA, GA 30319-5104
(678) 896-0526
Mailing address
5296 WINTERS CHAPEL RD, ATLANTA, GA 30360-1461
(678) 896-0526
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT001395
GA
Other
Enumeration date
02/24/2010
Last updated
02/24/2010
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