Individual
DR. LISA BRITTANY BOOTSTAYLOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
550 PEACHTREE ST NE, STE 1480, ATLANTA, GA 30308-2247
(404) 240-2804
(404) 240-2805
Mailing address
550 PEACHTREE ST NE, STE 1480, ATLANTA, GA 30308-2247
(404) 240-2804
(404) 240-2805
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
045402
GA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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