NPI 1003555830

Gregory Edward Niznik

Practitioner Technician/Technologist Kennesaw, GA

Practice location

Address: 1416 Clarinbridge Pkwy NW, Kennesaw, GA 30144-6669
Phone: (404) 295-0052

Registered specialties

Technician/Technologist Primary

Eye and Vision Services Providers Taxonomy 156F00000X

Other Technician/Technologist providers in Georgia →

Registry record

NPI: 1003555830
Entity type: Individual
Sex (as registered): Male
NPI issued: 31 May 2022
Record last updated: 31 May 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.