Individual
DR. ANGELICA MARIA DE LISA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4890 ROSWELL RD, SUITE 250, ATLANTA, GA 30342-2606
(404) 255-9244
(404) 255-9114
Mailing address
4890 ROSWELL RD, SUITE 250, ATLANTA, GA 30342-2606
(404) 255-9244
(404) 255-9114
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
68742
GA
Other
Enumeration date
11/01/2007
Last updated
11/10/2015
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