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1639396518
GEORGE T DERISO
AUSTELL, GA
NPI
1639396518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA 047732)
Enumeration Date
2007-04-20
Last Update Date
2019-10-29
Business Address
GEORGE T DERISO M.D.
1700 HOSPITAL SOUTH DR SUITE 409
AUSTELL, GA 30106-6810
Phone number: 770-424-6893
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Mailing Address
GEORGE T DERISO M.D.
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number:
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