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Individual

MS. KIANNA LAWSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1050 EAGLES LANDING PKWY, STE 302, STOCKBRIDGE, GA 30281-9250
(770) 389-9494
(770) 357-2511
Mailing address
1050 EAGLES LANDING PKWY, STE 302, STOCKBRIDGE, GA 30281-9250
(770) 389-9494
(770) 357-2511

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4947
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
P00401481
MEDICARE RAILROAD
GA
Enumeration date
03/07/2007
Last updated
03/30/2017
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