Provider Demographics
NPI:1285939959
Name:AMERSON, LINDSEY POUND (AA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:POUND
Last Name:AMERSON
Suffix:
Gender:F
Credentials:AA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3065 OCTAVIA PL
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30340-4619
Mailing Address - Country:US
Mailing Address - Phone:404-683-0129
Mailing Address - Fax:
Practice Address - Street 1:3065 OCTAVIA PL
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30340-4619
Practice Address - Country:US
Practice Address - Phone:404-683-0129
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-01-11
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes367H00000XPhysician Assistants & Advanced Practice Nursing ProvidersAnesthesiologist Assistant