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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. LISA MARIE WANNAMAKER, D.O.

Active

DR. LISA MARIE WANNAMAKER, D.O. is a Family Medicine healthcare provider located in EVANS, Georgia. NPI 1912069451 is currently active in the NPPES registry. Verify at CMS.

Family Medicine · EVANS, GA

Registration Details

NPI Number
1912069451
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2006 (19.65713229149 yrs)
Last Updated
Jun 4, 2018
License
55462 (GA)

Practice Information

Address
4720 WASHINGTON RD
EVANS, GA, 30809
Browse GA providers · Browse ZIP 30809
Phone
7067747263
Primary Specialty
Family Medicine
207Q00000X

Other Family Medicine Providers in EVANS, GA

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.