Provider Demographics
NPI:1730531377
Name:BARTZ, LINDSEY TAYLOR (PA-C)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:TAYLOR
Last Name:BARTZ
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8095A ROSWELL RD.
Mailing Address - Street 2:
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30350
Mailing Address - Country:US
Mailing Address - Phone:770-394-7868
Mailing Address - Fax:678-825-2417
Practice Address - Street 1:8095A ROSWELL RD.
Practice Address - Street 2:
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30350
Practice Address - Country:US
Practice Address - Phone:770-394-7868
Practice Address - Fax:678-825-2417
Is Sole Proprietor?:No
Enumeration Date:2016-07-07
Last Update Date:2020-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA9960363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant