NATHAN WADE ANISKO

MACON, GA
NPI1972130128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208M00000X Hospitalist
(Licence: GA  90644)
Additional Taxonomies207Q00000X Family Medicine
(Licence: GA  90702)
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2020-03-26
Last Update Date2025-09-15
Business Address
-- NATHAN WADE ANISKO
777 HEMLOCK ST # 104
MACON, GA 31201-2102
Phone number: 478-633-7550
Mailing Address
-- NATHAN WADE ANISKO
777 HEMLOCK ST # 104
MACON, GA 31201-2102
Phone number: 478-633-7550