Individual
WILLIAM A NISH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2510 LIMESTONE PKWY, GAINESVILLE, GA 30501-2089
(770) 534-9933
(770) 534-8999
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
031804
GA
207KA0200X
Allergy Physician
031804
GA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
03180
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00606559E
—
GA
Enumeration date
07/14/2005
Last updated
10/07/2020
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