Organization
FOREST PARK MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA M GANES MA (INSURANCE)
(404) 366-9311
Entity
Organization
Contact information
Practice address
1019 ASTOR AVE, FOREST PARK, GA 30297-3532
(404) 366-9311
(404) 366-1250
Mailing address
1019 ASTOR AVE, FOREST PARK, GA 30297-3532
(404) 366-9311
(404) 366-1250
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
06/20/2007
Last updated
08/22/2020
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