Jonathan Leonard Liss in Fortson - Neurology

Jonathan Leonard Liss - NPI 1386613743

Jonathan Leonard Liss is a Neurology in Fortson, Georgia. Jonathan Leonard Liss practices all healthcare services and medical treatments related to Neurology. The NPI Number for Jonathan Leonard Liss is 1386613743. The last update date is 2007-07-08.

Jonathan Leonard Liss's current location address is Po Box 160, Fortson, Georgia. You can contact this provider via phone number 7063274000 and fax number 7063242557. The mailing address for Jonathan Leonard Liss is Po Box 160, Fortson, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Jonathan Leonard Liss
Address Po Box 160, Fortson, Georgia
Phone Number 7063274000
Fax Number 7063242557
Sole Proprietor X
Credentials M.D.

NPI Number Detail

NPI Number 1386613743
Provider Enumeration Date 2006-03-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address Po Box 160
City Fortson
State Georgia (GA)
Post Code 318080160
Phone Number 7063274000
Fax Number 7063242557

Provider's Primary Taxonomy Detail

Speciality Neurology
Taxonomy 2084N0400X
Licence No 39850
Definition:
A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00651934B GA --

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FAQs about Jonathan Leonard Liss

What is the unique 10-digit identification code assigned to Jonathan Leonard Liss by the Centers for Medicare & Medicaid Services?

The Jonathan Leonard Liss has been issued the NPI (National Provider Identifier) 1386613743, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Jonathan Leonard Liss?

The Jonathan Leonard Liss is situated at Po Box 160, in the city of Fortson, state of GA, with the zip code 318080160.

What is Jonathan Leonard Liss's specialized field of practice, and what is the corresponding taxonomy classification code?

The Jonathan Leonard Liss's area of specialization is Neurology, and the corresponding taxonomy code that categorizes this field of practice is 2084N0400X.

On what date was the 1386613743 assigned to Jonathan Leonard Liss?

The Jonathan Leonard Liss was issued its 1386613743 on 2006-03-16, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Jonathan Leonard Liss last refreshed?

The information related to the Jonathan Leonard Liss, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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