Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207K00000X | Allergist & Immunologist | 031804 | GA |
N | 207KA0200X | Allergist | 031804 | GA |
N | 207RA0201X | Internist - Allergy & Immunology | 03180 | GA |
NPI | 1821097643 |
---|---|
Provider Name | William A Nish |
First Address | Atlanta, GA 30374-2616 |
Second Address | Gainesville, GA 30501-2089 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/07/2005 |
Last Update Date | 07/10/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
00606559E | (05) | GA |
F82906 | (02) | GA |