Organization
LSFA CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER F RODDY JR. RNFA (CEO-LSFA CORP)
(770) 932-8913
Entity
Organization
Contact information
Practice address
3531 HANOVER DR, BUFORD, GA 30519-4352
(770) 932-8913
(770) 932-9580
Mailing address
3531 HANOVER DR, BUFORD, GA 30519-4352
(770) 932-8913
(770) 932-9580
Taxonomy
Speciality
Code
Description
License number
State
163WR0006X
Registered Nurse First Assistant
Primary
—
—
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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