Individual
LISA ROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1600 CLIFTON RD MS C-18, DECATUR, GA 30333
(404) 639-0385
Mailing address
1357 THOMAS RD, DECATUR, GA 30030-4622
(404) 284-1984
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
043760
GA
Other
Enumeration date
10/04/2006
Last updated
07/08/2007
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