Lance Nissley, DO

NPI #1164919676 in Fort Eisenhower, Georgia

Provider Information

NPI Number: 1164919676
Entity Type: Individual
Name: Lance Nissley, DO
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Anesthesiology
Credential: DO
Enumeration Date: Apr 19, 2018
Last Updated: Jun 13, 2023

Practice Location

Address: 300 W HOSPITAL RD
City: Fort Eisenhower
State: Georgia
ZIP Code: 30905-5741
Phone: (706) 787-5811

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Anesthesiology	207L00000X	Primary

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