Individual
DR. LISA W. GANTNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 321-1223
(706) 321-0819
Mailing address
7901 VETERANS PKWY, COLUMBUS, GA 31909-1723
(706) 321-1223
(706) 321-0819
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
027690
GA
Other
Enumeration date
06/09/2006
Last updated
10/09/2015
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