NPI 1124171061

Jennifer Lee Carlson, ATC

Practitioner Legal Medicine Atlanta, GA

Practice location

Address: 4484 Peachtree Rd NE, Atlanta, GA 30319-2737
Phone: (404) 364-8486
Mailing address: 119 Greenfield Way, Newnan, GA 30263

Registered specialties

Legal Medicine Primary

Other Service Providers Taxonomy 173000000X Licence AT001295 (GA)

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Registry record

NPI: 1124171061
Entity type: Individual
Sex (as registered): Female
NPI issued: 22 Jan 2007
Record last updated: 8 Jul 2007

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.