Individual
GEORGE ISSHAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1372 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 922-4024
(770) 922-8143
Mailing address
1372 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 922-4024
(770) 922-8143
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
23369
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00233879A
—
GA
Enumeration date
07/26/2005
Last updated
07/08/2007
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