Individual
LORI ALEXANDER MABRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHIC, RMA, RPT, CPCT
Contact information
Practice address
4929 N MAIN ST STE 206, ACWORTH, GA 30101-5323
(678) 471-6983
(678) 403-2310
Mailing address
124 VALLEY FARM LN, ACWORTH, GA 30102-1777
(678) 471-6983
(678) 403-2310
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
Y8J9Y5Z9
GA
Other
Enumeration date
08/26/2020
Last updated
06/23/2023
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