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Nathan Anisko

NPI 1972130128 · on the registry since 2020

Practice

Address
777 Hemlock St # 104
Macon, GA 31201
Phone
(478) 633-7550
Fax
(478) 633-3235
Clinicians at this address
6

Registry record

Primary taxonomy
208M00000X
208M00000X
Also registered as
207Q00000X
390200000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-09-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia