Isshak, George
Isshak, George is an individual health care provider with primary practice located at 1372 Wellbrook Cir Ne , Conyers GA 30012-3872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. Isshak, George can be contacted via phone (770) 922-4024.Contact Information
Primary practice address
1372 Wellbrook Cir Ne
Conyers GA 30012-3872
Phone: (770) 922-4024
Fax: (770) 922-8143
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 23369 | Georgia |
Profile Details
| NPI number | 1275533770 |
|---|---|
| LBN Legal business name | Isshak, George |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 26th, 2005 |
| Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1275533770 | NPPES |
| Georgia | MEDICAID | 00233879A |
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