Macoy, Lisa

Macoy, Lisa is an individual health care provider with primary practice located at 4000 Shakerag Hl Suite 201, Peachtree City GA 30269-4047. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Macoy, Lisa can be contacted via phone (770) 486-7111.

Contact Information

Primary practice address
4000 Shakerag Hl Suite 201 Peachtree City GA 30269-4047
Phone: (770) 486-7111
Fax: (770) 486-7131
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X RN134284 NP Georgia

Profile Details

NPI number 1538326707
LBN Legal business name Macoy, Lisa
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date May 16th, 2008
Last updated Feb 21st, 2012 - about 12 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538326707 NPPES
Georgia MEDICAID 668569165F

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