Individual
LUIS RAFAEL VIZCARRA-FALLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
6825 JIMMY CARTER BLVD, SUITE 1590, NORCROSS, GA 30071-1228
(678) 615-2565
Mailing address
7082 ROSELAKE CIR, DOUGLASVILLE, GA 30134-1680
(404) 438-6568
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68630
GA
282N00000X
General Acute Care Hospital
—
—
Other
Enumeration date
03/06/2012
Last updated
12/20/2013
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