Most Relevant Information
Provider Data
| NPI Number: | 1003659921 |
| Provider Name: | LYDIA RUTH FLETCHER |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 06/18/2024 |
| Last Updated: | 06/18/2024 |
Provider Practice Location
100 WOODRUFF CIR NE STE P375
ATLANTA
GA
303221020
Practice Location Phone/Fax
| Phone: | 4047275655 |
| Fax: |
Provider Mailing Location
100 WOODRUFF CIR NE STE P375
ATLANTA
GA
303221020
Provider Mailing Phone/Fax
| Phone: | 4047275655 |
| Fax: |