Individual
TIMOTHY L. NISLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RT(R)
Contact information
Practice address
622 COUNTY ROAD 597, HANCEVILLE, AL 35077-7361
(256) 275-4410
Mailing address
622 COUNTY ROAD 597, HANCEVILLE, AL 35077-7361
(256) 275-4410
Taxonomy
Speciality
Code
Description
License number
State
2471C3402X
Radiography Radiologic Technologist
Primary
483666
AL
Other
Enumeration date
07/16/2012
Last updated
07/16/2012
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