Individual
LISA PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSA
Contact information
Practice address
7360 SERENITY PL, CUMMING, GA 30041-2261
(678) 689-8706
(470) 239-3092
Mailing address
7360 SERENITY PL, CUMMING, GA 30041-2261
(678) 689-8706
(470) 239-3092
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
—
—
363AS0400X
Surgical Physician Assistant
Primary
984
—
Other
Enumeration date
06/09/2011
Last updated
08/26/2019
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