| Jonathan L. Liss, Md, Neurology, Pc | |
|
7196 N Lake Dr Suite A Columbus GA 31909-1693 | |
| (706) 327-4000 | |
| (706) 324-2557 |
| Full Name | Jonathan L. Liss, Md, Neurology, Pc |
|---|---|
| Speciality | Psychiatry & Neurology - Neurology |
| Location | 7196 N Lake Dr, Columbus, Georgia |
| Authorized Official Name and Position | Lisa Kae Liss (VICE-PRESIDENT) |
| Authorized Official Contact | 7063274000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jonathan L. Liss, Md, Neurology, Pc 7196 N Lake Dr Suite A Columbus GA 31909-1693 Ph: (706) 327-4000 | Jonathan L. Liss, Md, Neurology, Pc 7196 N Lake Dr Suite A Columbus GA 31909-1693 Ph: (706) 327-4000 |
| NPI Number | 1053597088 |
|---|---|
| Provider Enumeration Date | 01/22/2008 |
| Last Update Date | 01/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053597088 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | 039850 (Georgia) | Primary |
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