Organization
NISBET CLINIC, INC.
Active
Organization
NISBET CLINIC, INC.
Active
Other names
John R. Nisbet M.D. P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY NISBET R.N. (CEO)
(770) 476-4184
Entity
Organization
Contact information
Practice address
3540 DULUTH PARK LN, SUITE 110, DULUTH, GA 30096-6674
(770) 476-4184
(770) 623-0819
Mailing address
PO BOX 1355, DULUTH, GA 30096-0024
(770) 476-4184
(770) 623-0819
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
508612
BCBS OF GA
GA
Enumeration date
11/19/2006
Last updated
02/16/2008
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