NPI 1013039064

Amanarh Albert Kisseih, MD

Practitioner Emergency Medicine Physician Lawrenceville, GA

Practice location

Address: 1000 Medical Center Blvd, Lawrenceville, GA 30045-7694
Phone: (678) 442-3317
Fax: (678) 442-4416
Mailing address: 1960 Silver Hill Rd, Stone Mountain, GA 30087-1635

Registered specialties

Emergency Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 020880 (GA)

Other Emergency Medicine providers in Georgia →

Registry record

NPI: 1013039064
Entity type: Individual
Sex (as registered): Male
NPI issued: 3 Apr 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.