IndividualActive
Alicia Lovelace
NPI 1265633697 · Specialist · Ellijay, GA
Provider details
- NPI number
- 1265633697
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- LPT 001251 (GA)
Mailing address
630 Blazing Star Rd
Ellijay, GA 30540
Registry dates
- Enumerated
- 2007-05-31
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.