MEDICARE: JOHN LISKO III

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	77287	GA
2	207RI0011X	Interventional Cardiology Physician	77287	GA
3	207R00000X	Internal Medicine Physician	77287	GA
4	390200000X	Student in an Organized Health Care Education/Training Program
5	207RC0000X	Cardiovascular Disease Physician	77287	GA
6	208M00000X	Hospitalist Physician	77287	GA

General Provider Information

NPI Number	:	1114314762
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN LISKO III

Provider Business Mailing Address
First Line	:	1364 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1059
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1364 CLIFTON RD NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30322-1059
Country	:	US
Telephone Number	:	330-565-4719
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/22/2015
Last Update Date	:	03/03/2026

Similar Medicare Providers

1285904383 — PHILIP V DAVIS NP
Practice Location Address:

1364 CLIFTON RD NE
ATLANTA, GA
30322-1059

Practice Phone: 404-712-7109
Practice Fax:

1881426856 — ASIA ZENNETTE WATKINS PAC
Practice Location Address:

1364 CLIFTON RD NE
ATLANTA, GA
30322-1059

Practice Phone: 404-727-7857
Practice Fax:

1841149721 — KEVIN THOMAS MOON
Practice Location Address:

1364 CLIFTON RD NE
ATLANTA, GA
30322-1059

Practice Phone: 404-712-2000
Practice Fax:

1669476248 — DR. MAUREEN E. HAAS PHARMD, BCPS
Practice Location Address:

1364 CLIFTON RD NE
ATLANTA, GA
30322-1059

Practice Phone: 404-712-4019
Practice Fax: 404-712-1991

1700883287 — DR. JOLYNN KNOCHE SESSIONS PHARM.D
Practice Location Address:

1364 CLIFTON ROAD NE , DEPARTMENT OF PHARMACY
ATLANTA, GA
30322-1059

Practice Phone: 404-712-2356
Practice Fax: 404-712-1991

1538167762 — MS. RENEE MICHELLE DEVINE PHARM D
Practice Location Address:

1364 CLIFTON RD NE , DEPARTMENT OF PHARMACY EG22
ATLANTA, GA
30322-1059

Practice Phone: 404-712-7505
Practice Fax: 404-712-1394

Directions to “ JOHN LISKO III ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.