Lisa A Wirth


Address: 500 Spring St Se, Suite 201, Gainesville, GA 30501-3773

Lisa A Wirth (NPI# 1932171758, PAC ID# 1355230673) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.

Physician Overview

Nation Provider ID (NPI) 1932171758
PAC ID by PECOS 1355230673
Professional Enrollment ID I20040315000214
Full Name Lisa A Wirth
Address 500 Spring St Se
Suite 201
Gainesville
GA 30501-3773
Gender F
Credential MD
Medical School UNIVERSITY OF LOUISVILLE SCHOOL OF MEDICINE
Graduation Year 1991
Primary Specialty PSYCHIATRY
Accepts Medicare Assignment Y

Other Locations

Address Phone Organization
500 Spring St Se, Suite 201, Gainesville, GA 30501-3773

Organization Information

Office Location

Street Address 500 SPRING ST SE
SUITE 201
City GAINESVILLE
State GA
Zip 30501-3773

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Competitor

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City GAINESVILLE
Zip Code 30501
Specialty PSYCHIATRY
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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