Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MS. IRENE RISTIC, MD
Active Sole ProprietorMS. IRENE RISTIC, MD is a Family Medicine healthcare provider located in LOGANVILLE, Georgia. NPI 1649316464 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · LOGANVILLE, GA
Registration Details
- NPI Number
- 1649316464
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jan 29, 2007 (19.540281911522 yrs)
- Last Updated
- May 30, 2012
- License
-
037660 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
902 ATHENS HWYLOGANVILLE, GA, 300524904Browse GA providers · Browse ZIP 30052
- Phone
- 7705545533
- Fax
- 7705548129
- Primary Specialty
-
Family Medicine
207Q00000X
Other Family Medicine Providers in LOGANVILLE, GA
| Name | Credential | NPI |
|---|---|---|
| IA Y KUE | D.O. | 1902883143 |
| DR. MICHAEL ROBERT MUNSEY | M.D. | 1356362826 |
| DR. NEIL KINGSLEY GROFF | MD. | 1114949682 |
| DR. GEORGE SCOTT GROFF | M.D. | 1780607242 |
| DAVID ALBERT FIELDS | MD | 1013094184 |
| ELIZABETH MIKRUT | MD | 1760530778 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.