Provider Demographics
NPI:1679894786
Name:MCCRACKEN, LINDSEY PERRY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:PERRY
Last Name:MCCRACKEN
Suffix:
Gender:F
Credentials:PA-C
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Mailing Address - Street 1:1802 DEFOORS LNDG NW
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30318-7552
Mailing Address - Country:US
Mailing Address - Phone:770-713-2564
Mailing Address - Fax:
Practice Address - Street 1:5885 GLENRIDGE DR NE
Practice Address - Street 2:SUITE 250
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30328-5512
Practice Address - Country:US
Practice Address - Phone:404-252-7226
Practice Address - Fax:404-252-8141
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical