-- NATHAN WADE ANISKO --
Individual Provider (NPI-1)
Active
Hospitalist
Provider Information
- NPI Number
1972130128- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 777 HEMLOCK ST # 104, MACON, GA, 312012102
- Phone
- (478) 633-7550
- Fax
- (478) 633-3235
Specialties & Taxonomies
Family Medicine
License: GA #90702
Student in an Organized Health Care Education/Training Program
Hospitalist
Primary License: GA #90644