Individual
MANDY LEANN KISOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
1168 N MAIN ST STE 110, CEDARTOWN, GA 30125-2039
(770) 749-1005
(770) 749-1119
Mailing address
PO BOX 12938, C/O CLINIC MANAGEMENT, CALHOUN, GA 30703
(706) 602-7800
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
GAA-NP002532
GA
Other
Enumeration date
05/22/2024
Last updated
06/02/2026
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