GEORGE T DERISO

AUSTELL, GA
NPI1639396518
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine Cardiovascular Disease
(Licence: GA  047732)
Enumeration Date2007-04-20
Last Update Date2019-10-29
Business Address
GEORGE T DERISO M.D.
1700 HOSPITAL SOUTH DR SUITE 409
AUSTELL, GA 30106-6810
Phone number: 770-424-6893
Mailing Address
GEORGE T DERISO M.D.
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number: