Individual
LAKITIA MATHENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(404) 785-5050
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
220154
GA
Other
Enumeration date
03/30/2017
Last updated
03/30/2017
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