Lisa Gordon Weiss PA-C

NPI 1730570409 - Physician Assistant - 363AM0700X

NPI Details
NPI 1730570409
Gender Female
Enumeration Date 02/16/2015
Last Updated 02/16/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
3379 PEACHTREE RD NE
SUITE 500
ATLANTA GA, 30326-1031, US
Phone (404) 355-5484
Fax
Business Location
3379 PEACHTREE RD NE
SUITE 500
ATLANTA GA, 30326-1031, US
Phone (303) 355-5484
Fax
Toxanomy
Taxonomy Code 363AM0700X
License State Georgia
License Number 7489
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According to our database, Lisa Gordon Weiss PA-C NPI is 1730570409, taxonomy code is 363AM0700X and license number is 7489, license state is located at Georgia. Lisa Gordon Weiss PA-C physically located at 3379 Peachtree Rd Ne, Atlanta GA, 30326-1031. NPI Number Lisa Gordon Weiss PA-C has the Individual type.

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1730570409 NPI number is provided on an as is basis without warranty of any kind. 1730570409 is maintained by the National Plan & Provider Enumeration System. The contents of Lisa Gordon Weiss PA-C are for informational purposes only.