Alicia S Lovelace
Specialist in Ellijay, GA. Individual provider (NPI-1).
NPI number1265633697
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1265633697
- Entity type
- Individual (NPI-1)
- Name
- Alicia S Lovelace
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 31, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | LPT 001251 | GA | Yes |
Practice location
630 Blazing Star RdEllijay, GA 30540
Phone 706-273-8813
Mailing address
630 Blazing Star RdEllijay, GA 30540
Phone 706-273-8813
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