LANCE NISSLEY

FORT EISENHOWER, GA
NPI1164919676
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207L00000X Anesthesiology
(Licence: PA  OS020413)
Enumeration Date2018-04-19
Last Update Date2023-06-13
Business Address
LANCE NISSLEY DO
300 W HOSPITAL RD
FORT EISENHOWER, GA 30905-5741
Phone number: 706-787-5811
Mailing Address
LANCE NISSLEY DO
300 W HOSPITAL RD
FORT EISENHOWER, GA 30905-5741
Phone number: 706-787-5811
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