Individual
JOSE FERNANDO LIZCANO-PEREZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1968 PEACHTREE RD NW, BLDG 77, 5TH FLOOR, ATLANTA, GA 30309-1281
(404) 605-4600
(404) 609-6720
Mailing address
1968 PEACHTREE RD NW, BLDG 77, 5TH FLOOR, ATLANTA, GA 30309-1281
(404) 605-4600
(404) 609-6720
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
066207
GA
Other
Enumeration date
08/22/2008
Last updated
08/22/2016
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