Individual
LISA CLANTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
35 COLLIER RD NW STE 635, ATLANTA, GA 30309-1611
(404) 367-3014
Mailing address
619 S 8TH ST SUITE 200, GRIFFIN, GA 30224-4260
(770) 227-1587
(770) 227-1485
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN154641
GA
363LA2200X
Adult Health Nurse Practitioner
RN154641
GA
Other
Enumeration date
02/16/2016
Last updated
07/06/2020
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