ADRIENNE DISISTO

ATLANTA, GA
NPI1104190206
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: GA  006379)
Enumeration Date2012-03-07
Last Update Date2012-03-07
Business Address
-- ADRIENNE DISISTO PA-C
764 GREENWOOD AVE NE
ATLANTA, GA 30306-3721
Phone number: 917-326-0670
Mailing Address
-- ADRIENNE DISISTO PA-C
764 GREENWOOD AVE NE
ATLANTA, GA 30306-3721
Phone number: 917-326-0670