SearchGeorgia152W00000X

Alisa Nicholson, OD

NPI 1790186211 · on the registry since 2014 · sole proprietor

Practice

Address
6700 Douglas Blvd Ste 1270
Douglasville, GA 30135
Phone
(770) 942-9827

Registry record

Primary taxonomy
152W00000X
152W00000X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2020-04-30

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