LISA H. DAITCH

AUGUSTA, GA
NPI1861502445
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant Medical
(Licence: GA  003202)
Enumeration Date2006-08-30
Last Update Date2011-03-31
Business Address
LISA H. DAITCH PA
1120 15TH ST
AUGUSTA, GA 30912-0004
Phone number: 706-721-2505
Mailing Address
LISA H. DAITCH PA
1499 WALTON WAY STE 1400
AUGUSTA, GA 30901-2602
Phone number: 706-828-8402