IndividualActive
Lisa Autry, ROT
NPI 1144107368 · Other Specialist/Technologist · Athens, GA
Provider details
- NPI number
- 1144107368
- Entity type
- Individual
- Primary specialty
- Other Specialist/TechnologistTechnologists, Technicians & Other Technical Service Providers
- Credential
- ROT
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Technologists, Technicians & Other Technical Service Providers
Practice location
1765 Old West Broad St
Athens, GA 30606-2853
Phone: (706) 549-1663
Approximate (ZIP-level) locationGet directions
Mailing address
1765 Old West Broad St Bldg 2-200
Athens, GA 30606-2887
Registry dates
- Enumerated
- 2025-08-19
- Last updated
- 2025-08-19
- Certified
- 2025-08-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.