Individual
LINA SEDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3950 AUSTELL RD, AUSTELL, GA 30106
(470) 732-3800
Mailing address
5665 NEW NORTHSIDE DR STE 320, ATLANTA, GA 30328-5834
(770) 874-6907
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
008875
GA
Other
Enumeration date
08/10/2018
Last updated
08/13/2018
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