Individual
CARLY LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 NORTHSIDE FORSYTH DR STE 310, CUMMING, GA 30041-6017
(678) 845-7300
Mailing address
1400 NORTHSIDE FORSYTH DR STE 310, CUMMING, GA 30041-6017
(678) 845-7300
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
Other
Enumeration date
07/20/2021
Last updated
07/20/2021
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