Individual
JULIE TRAN LOCKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
95 COLLIER ROAD NW, SUITE 2035, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Mailing address
95 COLLIER ROAD NW, SUITE 2035, ATLANTA, GA 30309
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
001711
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27883
WELLMARK BCBS
IA
Enumeration date
10/10/2006
Last updated
11/22/2010
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