Individual
LISA GORDON WEISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 410, CANTON, GA 30115-8023
(470) 242-0730
(770) 755-5890
Mailing address
3379 PEACHTREE RD NE, STE 500, ATLANTA, GA 30326-1418
(303) 355-5484
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
7489
GA
Other
Enumeration date
02/16/2015
Last updated
12/11/2025
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