Individual
HISHAM H GOREISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
150 GILBREATH DR, ONEONTA, AL 35121-2827
(205) 274-3004
(205) 274-3002
Mailing address
2416 BRYNLYN WOODS DR NE, CONYERS, GA 30013-1426
(770) 922-7664
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
46854
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009914077
—
AL
01
—
051531620
BCBS
AL
05
—
051531620
—
AL
01
—
051531845
BCBS
AL
01
—
051545800
BCBS
AL
05
—
051557081
—
AL
01
—
7903244
AETNA
AL
Enumeration date
11/15/2005
Last updated
03/09/2022
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