Individual
EMILY BROCK LECRAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
95 COLLIER RD NW STE 6015, ATLANTA, GA 30309-1750
(404) 351-5959
(404) 351-8526
Mailing address
35 COLLIER RD NW STE 775, ATLANTA, GA 30309-1608
(404) 351-5959
(404) 351-8526
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AS0400X
Surgical Physician Assistant
7594
GA
Other
Enumeration date
02/05/2015
Last updated
12/18/2024
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