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Individual

MA LIZA ACASO LIMORAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
5674 MEMORIAL DR, STONE MOUNTAIN, GA 30083-3254
(770) 322-6161
(770) 322-6161
Mailing address
1017 WINDSOR DR, MONROE, GA 30656-4791
(770) 885-8980

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
12366
GA
363A00000X
Physician Assistant

Other

Enumeration date
10/04/2022
Last updated
07/31/2025
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