Individual
LACEY WOOD MCLENDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 389-3075
Mailing address
PO BOX 7879, ATHENS, GA 30604-7879
(706) 389-3075
(706) 389-3076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
8316
GA
Other
Enumeration date
05/11/2017
Last updated
09/11/2019
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