Individual
LISA SUDMEIER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D., PH.D.
Contact information
Practice address
100 WOODRUFF CIR NE STE 327, ATLANTA, GA 30322-1020
(404) 727-5658
Mailing address
100 WOODRUFF CIR NE, ATLANTA, GA 30322-1020
(404) 616-1000
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
009522
GA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/05/2017
Last updated
08/25/2022
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