Individual
LINDSEY ANNE THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094-5173
(678) 750-4000
Mailing address
1506 KLONDIKE RD SW STE 205, CONYERS, GA 30094-5173
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
104471
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/19/2022
Last updated
05/08/2025
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