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Individual

DR. RACHEL ELIZABETH NISBET

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300
(770) 586-0311
Mailing address
2075 HAMILTON CREEK PKWY STE 200, DACULA, GA 30019-7285
(770) 586-0300

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
054828
GA
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
054828
GA
207RP1001X
Pulmonary Disease Physician
Primary
054828
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
551442576A
GA
Enumeration date
01/02/2008
Last updated
10/07/2020
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