Individual
LISA MAE WITZLIB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
900 MOHAWK ST STE E, SAVANNAH, GA 31419-1768
(912) 925-0067
Mailing address
272 FARM RD SE, MARIETTA, GA 30067-4076
(404) 512-8191
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
RN278907
GA
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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