Individual
LISSETE ARIAS WHITAKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2050 WALTON WAY, AUGUSTA, GA 30904-2305
(706) 434-1590
Mailing address
1206 ARCILLA PT, MARTINEZ, GA 30907-9296
(770) 757-8028
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
105484
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/23/2020
Last updated
08/14/2025
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