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Organization

GEORGE ISSHAK,LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GEORGE ISSHAK M.D. (CHIEF OPERATING MANAGER)
(770) 653-9033
Entity
Organization

Contact information

Practice address
1215 VINEYARD DR SE, CONYERS, GA 30013-2467
(770) 653-9033
Mailing address
1215 VINEYARD DR SE, CONYERS, GA 30013-2467
(770) 653-9033

Taxonomy

Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
023369
GA

Other

Enumeration date
04/03/2008
Last updated
04/03/2008
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