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Individual

DR. LISA M. MCMATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
1635 HIGHWAY 34 E STE C, NEWNAN, GA 30265-2173
(678) 953-2623
Mailing address
222 ARBOR SHRS N, NEWNAN, GA 30265-4128
(678) 953-2623

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
053332
GA
208000000X
Pediatrics Physician
Primary
053332
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000860753610A
GA
Enumeration date
04/11/2006
Last updated
04/06/2026
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