Organization
COLUMBUS MEMORY CENTER, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN LEONARD LISS MD (PRESIDENT)
(706) 327-4000
Entity
Organization
Contact information
Practice address
7196 N LAKE DR, COLUMBUS, GA 31909-1693
(706) 327-4000
(706) 324-2557
Mailing address
7196 N LAKE DR, COLUMBUS, GA 31909-1693
(706) 327-4000
(706) 324-2557
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
—
—
261QR0208X
Mobile Radiology Clinic/Center
—
—
Other
Enumeration date
03/01/2019
Last updated
07/16/2024
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