Huckaby, Lisa P
Huckaby, Lisa P is an individual health care provider with primary practice located at 1301 Sigman Rd Ne Suite 230, Conyers GA 30012-3812. She recently has only one registered license in Other Service Providers / Midwife, which is considered as her primary health care specialty. Huckaby, Lisa P can be contacted via phone (678) 609-4931.Contact Information
Primary practice address
1301 Sigman Rd Ne Suite 230
Conyers GA 30012-3812
Phone: (678) 609-4931
Fax: (678) 609-4932
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Midwife | 176B00000X | RN069461 | Georgia |
Profile Details
| NPI number | 1437112372 |
|---|---|
| LBN Legal business name | Huckaby, Lisa P |
| Credentials | Certified Nurse Midwife (CNM) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2006 |
| Last updated | Jul 21st, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1437112372 | NPPES |
| Georgia | MEDICAID | 00892438 |
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