Individual
NANCY Y LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
1364 CLIFTON RD NE, ATLANTA, GA 30322-1059
(404) 778-4852
Mailing address
250 PHARR RD NE, UNIT 510, ATLANTA, GA 30305-2464
(404) 944-9642
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
4205
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
450368436A
—
GA
Enumeration date
11/28/2006
Last updated
10/20/2023
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