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1235153990
LISA R MACK
ATLANTA, GA
NPI
1235153990
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: GA 47115)
Enumeration Date
2006-07-27
Last Update Date
2007-07-08
Business Address
-- LISA R MACK MD
550 PEACHTREE ST NE
ATLANTA, GA 30308-2247
Phone number: 404-686-3845
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Mailing Address
-- LISA R MACK MD
531 ASBURY CIRCLE-ANNEX SUITE N340
ATLANTA, GA 30322-0001
Phone number: 404-778-5975
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