Individual
ERIN LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PAC
Contact information
Practice address
176 CHARLES HARDY PKWY UNIT C, HIRAM, GA 30141-1836
(678) 945-8200
(678) 945-8209
Mailing address
6325 SHANNON PKWY, STE D, UNION CITY, GA 30291-1538
(770) 964-1400
(770) 306-1343
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7022
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7022
GEORGIA LICENSE
GA
Enumeration date
10/17/2013
Last updated
11/06/2019
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