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1861502445
LISA H. DAITCH
AUGUSTA, GA
NPI
1861502445
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 003202)
Enumeration Date
2006-08-30
Last Update Date
2011-03-31
Business Address
-- LISA H. DAITCH PA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2505
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Mailing Address
-- LISA H. DAITCH PA
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-8402
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