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Contact Information

LISA M ANTHONY, MS, LAT, ATC
400 ARNOLD MILL RD
WOODSTOCK, GA30188
 Phone: 404-210-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for LISA M ANTHONY · (Female)

NPI # 1427555440
Status Active
Credentials MS, LAT, ATC
Entity Individual
Enumeration date 04/06/2018
Last updated 07/12/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 9437361-4810
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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