Individual
DR. LISA SUE ROSOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE 110, ATLANTA, GA 30307-3408
(404) 817-0511
Mailing address
675 SEMINOLE AVE NE, SUITE 110, ATLANTA, GA 30307-3408
(404) 817-0511
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
44325
GA
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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