Whalio Doctors

NPI 1265593446

Lacy and Company

Organisation Point of Service Atlanta, GA

Practice location

Address
1420 Foxhall Ln SE APT 8, Atlanta, GA 30316-3474
Phone
(404) 328-0999
Fax
(404) 328-0999
Mailing address
1420 Foxhall Lane #8, Atlanta, GA 30316-3474

Authorised official

Name
Carolyn Lacy
Title
Icwp Case Manager
Phone
(404) 328-0999

Registered specialties

Point of Service Primary
Managed Care Organizations Taxonomy 305S00000X Licence 066110LGB (GA)

Registry record

NPI
1265593446
Entity type
Organization
NPI issued
12 Dec 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.