Organization
JONATHAN L. LISS, MD, NEUROLOGY, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA KAE LISS (VICE-PRESIDENT)
(706) 327-4000
Entity
Organization
Contact information
Practice address
7196 N LAKE DR, SUITE A, COLUMBUS, GA 31909-1693
(706) 327-4000
(706) 324-2557
Mailing address
7196 N LAKE DR, SUITE A, COLUMBUS, GA 31909-1693
(706) 327-4000
(706) 324-2557
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
039850
GA
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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