# GEORGE ISSHAK,LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1902079544
- **Authorized official:** DR. GEORGE ISSHAK M.D. (CHIEF OPERATING MANAGER)
- **Authorized official phone:** (770) 653-9033

## Contact information

- **Practice address:** 1215 VINEYARD DR SE, CONYERS, GA 30013-2467
- **Practice address phone:** (770) 653-9033
- **Mailing address:** 1215 VINEYARD DR SE, CONYERS, GA 30013-2467
- **Mailing address phone:** (770) 653-9033

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2086S0129X | Vascular Surgery Physician | 023369 | GA | Yes |

## Other

- **Enumeration date:** 04/03/2008
- **Last updated:** 04/03/2008