Individual
DR. NOLAN MADDOX LASSITER SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2176 OAK RD SW, SUITE B, SNELLVILLE, GA 30078
(770) 985-2900
(770) 985-4572
Mailing address
2176 OAK RD, SUITE B, SNELLVILLE, GA 30078-2374
(770) 985-2900
(770) 985-4572
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
010220
GA
Other
Enumeration date
01/23/2007
Last updated
07/20/2010
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