Individual
DR. LISA GREGORY DRISKILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2505 US HIGHWAY 431, BOAZ, AL 35957-5908
(256) 840-3480
(256) 840-3626
Mailing address
PO BOX 1164, DALTON, GA 30722-1164
(706) 271-0100
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
18259
AL
2085R0202X
Diagnostic Radiology Physician
Primary
18259
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
051517358
—
AL
Enumeration date
06/17/2006
Last updated
01/25/2013
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