LISA MARIE WANNAMAKER

EVANS, GA
NPI1912069451
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207Q00000X Family Medicine
(Licence: GA  55462)
Enumeration Date2006-12-14
Last Update Date2018-06-04
Business Address
Dr. LISA MARIE WANNAMAKER D.O.
4720 WASHINGTON RD
EVANS, GA 30809
Phone number: 706-774-7263
Mailing Address
Dr. LISA MARIE WANNAMAKER D.O.
PO BOX 1705
AUGUSTA, GA 30903-1705
Phone number: 706-774-7263