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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