Individual
LISA KIRKLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 HOSPITAL DR, MACON, GA 31217-3838
(770) 994-9326
(770) 994-4747
Mailing address
235 PEACHTREE ST NE, NORTH TOWER, SUITE 2100, ATLANTA, GA 30303-1401
(770) 994-9326
(770) 994-4747
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
46314
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
413046400
—
MD
05
—
413496600
—
MD
Enumeration date
09/06/2006
Last updated
02/12/2008
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