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Individual

JOSEPH P. LIEBSACK II

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
7001 HODGSON MEMORIAL DR STE 1, SAVANNAH, GA 31406-2549
(912) 298-6646
(912) 298-6622
Mailing address
PO BOX 60969, SAVANNAH, GA 31420-0969
(912) 691-5711
(678) 623-3695

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
004192
GA

Other

Enumeration date
07/23/2006
Last updated
01/17/2022
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